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Testicular Torsion


Testicular torsion is a condition in which the spermatic cord that holds the testicle gets twisted. The spermatic cord contains blood vessels and passageways for sperm. When the spermatic cord is twisted, blood flow to the testicle is reduced or blocked. This condition usually happens to only one testicle, but can happen to both. It usually affects babies up to 1 year of age and children 12 to 18 years of age.


Informed consent

is a legal document that explains the tests, treatments, or procedures that you may need. Informed consent means you understand what will be done and can make decisions about what you want. You give your permission when you sign the consent form. You can have someone sign this form for you if you are not able to sign it. You have the right to understand your medical care in words you know. Before you sign the consent form, understand the risks and benefits of what will be done. Make sure all your questions are answered.


  • Antibiotics: This medicine is given to help treat or prevent an infection caused by bacteria.
  • Antinausea medicine: This medicine may be given to calm your stomach and to help prevent vomiting.
  • Medicines to treat pain, swelling, or fever: These medicines are safe for most people to use. However, they can cause serious problems when used by people with certain medical conditions. Tell caregivers if you have liver or kidney disease or a history of bleeding in your stomach.


  • Blood tests: You may need blood taken to give caregivers information about how your body is working. The blood may be taken from your hand, arm, or IV.
  • Scintigraphy: This test uses radioactive dye to check for blood flow in the spermatic cord and scrotum. The dye helps the blood vessels show up better on the x-rays. Tell the healthcare provider if you have ever had an allergic reaction to contrast dye.
  • Ultrasound: An ultrasound uses sound waves to show pictures on a monitor. An ultrasound may be done to show problems in your testicles and spermatic cord, including abnormal blood flow.


  • Surgery: Your healthcare provider may have to make an incision on your scrotum to reach and untwist the affected testicle. Your healthcare provider may then attach the affected testicle to the wall of your scrotum to prevent it from twisting again. The unaffected testicle may also be attached to the scrotum to prevent testicular torsion.


If you have surgery, you may bleed more than expected or get an infection. Even after treatment, your testicle may get smaller or have decreased sperm and hormone production. With or without treatment, the lack of blood flow to the testicle may lead to an infection. The testicle may shrink. The testicle may die and need to be removed completely. This may make it difficult for you to get a woman pregnant. If both testicles need to be removed, you will be sterile (unable to get a woman pregnant).


You have the right to help plan your care. Learn about your health condition and how it may be treated. Discuss treatment options with your caregivers to decide what care you want to receive. You always have the right to refuse treatment.

© 2016 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.