Testicular torsion is a surgical emergency which appears in approximately 1 out of 4 thousand men.
It can happen at any age, but is most common within 12 and 18 years, and among babies of less than 1 month of life.
Pain frequently appears in the scrotal area (testicle area); it is acute, very intense, and does not change with the change of position. It can be accompanied by vomits.
It is common to find a variable-grade traumatism as antecedent.
In the physical examination, the pediatrician compares both testicles, as the scrotum can be inflammated, red and painful.
The diagnosis in the neonate is more difficult, and there can be a non-painful hard swelling, which is not transillumine (if a light is used in order to see the scrotal content from the outside). It can be associated with scrotum inflammation or change in the color of its skin.
An urine analysis can be done, which is generally of normal nature, but the diagnosis is done, together with the symptoms the patient has, by an examination which assesses the testicle blood irrigation (Testicular Ecodoppler).
When there is pain in the testicular area it is necessary to see the pediatrician, as in case there is a testicular torsion there is LITTLE TIME (between 6 and 12 hours) in order to avoid losing the organ.
Some torsions which underwent surgery after 12, but before 24 hours of the starting of symptoms, were sucessful, but that is not the rule.
The surgeon or urologist who operates puts and fixes the affected organ and also fixes the contralateral testicle so that it does not happen again in the future.
When there is pain in the testicular area of a child or adult, you should ask the doctor immediately