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Testicular Torsion

  • Daniel W. Colliver
  • David F. M. ThomasEmail author
Chapter

Abstract

Testicular torsion is a relatively common condition. It accounts for approximately 90% of acute scrotal pathology in adolescents and 30–40% of cases in the pre-pubertal age group. The germ cell population of the testis is highly sensitive to both ischemic and reperfusion injury. Experimental evidence indicates that damage to seminiferous tissue ensues rapidly after the onset of complete ischemia. Urgent surgical exploration is mandatory unless there is compelling evidence of an alternative diagnosis. The evidence of experimental and clinical studies indicates that it is preferable to perform orchidectomy rather than conserve a testis of doubtful viability. Although follow-up studies have consistently demonstrated normal endocrine function, men with a history of unilateral torsion are at significant risk of impaired semen quality.

Keywords

Testicular torsion Spermatic cord Torsion of hydatid of morgagni Contralateral testis Idiopathic scrotal edema 

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Copyright information

© Springer-Verlag GmbH Germany 2018

Authors and Affiliations

  1. 1.Department of Paediatric Surgery and UrologyQueens Medical CentreNottinghamUK
  2. 2.Department of Paediatric Urology, Leeds Teaching HospitalsUniversity of Leeds, Leeds General InfirmaryLeedsUK

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