Torsion Testis

Testicular torsion is the condition where the child’s spermatic cord twists/ rotates in the scrotum, thus depriving the testicle of blood supply and also causing the testicle to appear twisted/ rotated. Usually occurs with only one testicle. This is an emergency not to be ignored.

Types & Causes:

  • Testicular Torsion.
  • Appendix testis torsion.


  • Mild to acute scrotal pain.
  • Mild to acute groin pain.
  • Lower abdominal pain.
  • Weakness.
  • Nausea.
  • Sensation of vomiting.
  • Swelling on the scrotum.
  • Higher appearance of one testicle.
  • Shortened spermatic chord.

Diagnosis Tests:

  • Blood tests.
  • Urine tests.
  • Doppler ultrasound.
  • Physical Examination.
  • Reflexes checkup.
  • Appendix testis torsion test.


  • Manual re-twisting of the testis to normal position.
  • Surgery.
  • Analgesic medicines.
  • Anti anxiety medications.
  • Anti-inflammatory drugs like Phosphodiesterase type-5 inhibitors.
  • Stain medications.

Prevention & Precaution is Better than Cure:

  • Regular check-up and tests.
  • Unattended self twisting, can lead to bleeding and pain.

Alternative Therapies:

  • Psychological counseling.

All above, treatments are finalized taking into consideration the overall health, severity, age and other ailments of the patient.