Madhukar Rainbow Children Hospital, Malviya Nagar, New Delhi
+91 98102 64850
shandips@gmail.com.

Torsion testes

Dr Shandip Kumar Sinha - Paediatric surgeon,Paediatric urologist and Paediatric laparoscopic surgeon

What is this disease?
  • The two testes lie in the scrotum. The spermatic cord, containing vas deferens and blood vessels, connects the testes with the abdomen. The testes are able to move around a little in the scrotum, but cannot usually move enough to twist round fully. In some children, the tissues that surround the testis in the scrotum are lax, which allows the testis to move more than normal. Torsion of the testis occurs when the testis twists and rotates round the spermatic cord, leading to interruption in blood supply to the testis. Unless the blood supply is restored quickly the testis may become necrosed.
How it is diagnosed?
  • Clinical examination, Doppler USG and in doubtful cases, surgical exploration are means for diagnosis.
How it is treated?
  • It is treated by surgery under general anaesthesia, in which fixation of testes is done by non absorbable sutures.
When it should be operated?
  • Torsion of the testis is an emergency and an urgent surgery is recommended.
Are there other alternative methods of treatment?
  • In indicated cases, surgery is the only treatment option. 
What all I need to know before my child surgery?
  • Read “All you need to know before your child’s surgery” information booklet in website.  
How is the surgery done?
  • A small cut is made in the skin of the scrotum to expose the testes. The affected testis and spermatic cord are untwisted. The testis is then stitched to the surrounding tissue and fixed so that it is unable to twist in the future. The other testis is also fixed at the same time. If testis is black, excision is the only option with prosthesis at puberty.
Remarks
  • For more details of surgery, contact your surgeon.
Related Photographs and videos
  • Few photographs of steps done by me and video link is given here for learning purposes.