Testicular torsion occurs when the spermatic cord (from which the testicle is suspended) twists, cutting off the blood supply to the testicle. ... The most common ...TesticulartorsionFromWikipedia,thefreeencyclopediaJumptonavigationJumptosearchMedicalconditionTesticulartorsion1.Epididymis2.Headofepididymis3.Lobulesofepididymis4.Bodyofepididymis5.Tailofepididymis6.Ductofepididymis7.Deferentduct(ductusdeferensorvasdeferens)SpecialtyUrologySymptomsSeveretesticularpain,elevatedtesticle[1]ComplicationsInfertility[2]UsualonsetSudden[1]TypesIntravaginaltorsion,extravaginaltorsion[1]Riskfactors"Bellclapperdeformity",testiculartumor,coldtemperature[1]DiagnosticmethodBasedonsymptoms[1]DifferentialdiagnosisEpididymitis,inguinalhernia,torsionoftheappendixtesticle[2]TreatmentPhysicallyuntwistingthetesticle,surgery[1]PrognosisGenerallygoodwithrapidtreatment[1]Frequency~1in15,000peryear(under25yearsold)[2][3]Testiculartorsionoccurswhenthespermaticcord(fromwhichthetesticleissuspended)twists,cuttingoffthebloodsupplytothetesticle.[3]Themostcommonsymptominchildrenissudden,severetesticularpain.[1]Thetesticlemaybehigherthanusualinthescrotumandvomitingmayoccur.[1][2]Innewborns,painisoftenabsentandinsteadthescrotummaybecomediscoloredorthetesticlemaydisappearfromitsusualplace.[1]Mostofthoseaffectedhavenoobviouspriorunderlyinghealthproblems.[1]Testiculartumororpriortraumamayincreaserisk.[1][3]Otherriskfactorsincludeacongenitalmalformationknownasa"bell-clapperdeformity"whereinthetestisisinadequatelyattachedtothescrotumallowingittomovemorefreelyandthuspotentiallytwist.[1]Coldtemperaturesmayalsobeariskfactor.[1]Thediagnosisshouldusuallybemadebasedonthepresentingsymptoms,butrequirestimelydiagnosisandtreatmenttoavoidtesticularloss.[4][1][2]Anultrasoundcanbeusefulwhenthediagnosisisunclear.[2]Treatmentisbyphysicallyuntwistingthetesticle,ifpossible,followedbysurgery.[1]Paincanbetreatedwithopioids.[1]Outcomedependsontimetocorrection.[1]Ifsuccessfullytreatedwithinsixhoursonset,itisoftengood.However,i