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Spermatic cord torsion

MedGen UID:
52446
Concept ID:
C0037856
Disease or Syndrome
Synonyms: Testicular torsion; TORSION OF TESTICULAR CORD
SNOMED CT: Torsion of testis (81996005); Torsion of testicle (81996005); Testicular torsion (81996005); Torsion of spermatic cord (49198006)
 
HPO: HP:0100813
Monarch Initiative: MONDO:0008541
OMIM®: 187400

Definition

Testicular torsion is when the spermatic cord to a testicle twists, cutting off the blood supply. The most common symptom is acute testicular pain. [from HPO]

Professional guidelines

PubMed

Osumah TS, Jimbo M, Granberg CF, Gargollo PC
J Pediatr Urol 2018 Oct;14(5):394-401. Epub 2018 Jul 21 doi: 10.1016/j.jpurol.2018.07.002. PMID: 30087037
Bitkin A, Aydın M, Özgür BC, Irkilata L, Akgunes E, Keles M, Sarıcı H, Atilla MK
Andrologia 2018 Feb;50(1) Epub 2017 May 12 doi: 10.1111/and.12819. PMID: 28497463
Remer EM, Casalino DD, Arellano RS, Bishoff JT, Coursey CA, Dighe M, Fulgham P, Israel GM, Lazarus E, Leyendecker JR, Majd M, Nikolaidis P, Papanicolaou N, Prasad S, Ramchandani P, Sheth S, Vikram R, Karmazyn B
Ultrasound Q 2012 Mar;28(1):47-51. doi: 10.1097/RUQ.0b013e3182493c97. PMID: 22357246

Recent clinical studies

Etiology

Qin KR, Qu LG
J Urol 2022 Jul;208(1):62-70. Epub 2022 Mar 3 doi: 10.1097/JU.0000000000002496. PMID: 35238603
Shunmugam M, Goldman RD
Can Fam Physician 2021 Sep;67(9):669-671. doi: 10.46747/cfp.6709669. PMID: 34521708Free PMC Article
Edwards BL, Dorfman D
Emerg Med Clin North Am 2020 May;38(2):383-400. doi: 10.1016/j.emc.2020.01.004. PMID: 32336332
Bowlin PR, Gatti JM, Murphy JP
Surg Clin North Am 2017 Feb;97(1):161-172. doi: 10.1016/j.suc.2016.08.012. PMID: 27894425
Ringdahl E, Teague L
Am Fam Physician 2006 Nov 15;74(10):1739-43. PMID: 17137004

Diagnosis

Kylat RI, Ahmed MN
Afr J Paediatr Surg 2022 Jan-Mar;19(1):1-4. doi: 10.4103/ajps.AJPS_153_20. PMID: 34916342Free PMC Article
Shunmugam M, Goldman RD
Can Fam Physician 2021 Sep;67(9):669-671. doi: 10.46747/cfp.6709669. PMID: 34521708Free PMC Article
Kylat RI
Arch Pediatr 2021 Jan;28(1):75-79. Epub 2020 Dec 1 doi: 10.1016/j.arcped.2020.10.006. PMID: 33277134
Bourke MM, Silverberg JZ
Emerg Med Clin North Am 2019 Nov;37(4):593-610. Epub 2019 Aug 24 doi: 10.1016/j.emc.2019.07.002. PMID: 31563197
Sharp VJ, Kieran K, Arlen AM
Am Fam Physician 2013 Dec 15;88(12):835-40. PMID: 24364548

Therapy

Ali Üncü Y, Şekerci ÇA, Yücel S, Sircan-Kucuksayan A, Çam HK, Savaş M, Yıldırım A, Ağras K, Baykara M, Canpolat M
Urology 2023 Mar;173:159-163. Epub 2023 Jan 13 doi: 10.1016/j.urology.2023.01.004. PMID: 36642118
Hansen AH, Priskorn L, Hansen LS, Carlsen E, Joensen UN, Jacobsen FM, Jensen CFS, Jørgensen N
Hum Reprod 2023 Feb 1;38(2):216-224. doi: 10.1093/humrep/deac271. PMID: 36610456
Bertolotto M, Muça M, Currò F, Bucci S, Rocher L, Cova MA
Abdom Radiol (NY) 2018 Apr;43(4):899-917. doi: 10.1007/s00261-018-1510-7. PMID: 29460046
Karaguzel E, Kadihasanoglu M, Kutlu O
Nat Rev Urol 2014 Jul;11(7):391-9. Epub 2014 Jun 17 doi: 10.1038/nrurol.2014.135. PMID: 24934447
Wren T
Nurs Clin North Am 2004 Jun;39(2):319-26. doi: 10.1016/j.cnur.2004.01.004. PMID: 15159182

Prognosis

Seizilles de Mazancourt E, Khene Z, Sbizerra M, Kaulanjan K, Plassais C, Bardet F, Pinar U, Duquesne I, Margue G, Ali Benali N, Berchiche W, Gaillard C, Wandoren W, Manuguerra A, Dang VT, Mauger de Varennes A, Hulin M, Gaillard V, Dominique I, Michiels C, Grevez T, Felber M, Vallee M, Gondran-Tellier B, Freton L, Lannes F, Pradère B, Matillon X
World J Urol 2023 Dec;41(12):3789-3794. Epub 2023 Oct 28 doi: 10.1007/s00345-023-04671-x. PMID: 37897515
Michail A, Ioanna G, Euaggelia S, Ioannis T, Christina P, Ioannis P
Urologia 2023 Aug;90(3):559-562. Epub 2023 Feb 18 doi: 10.1177/03915603231155676. PMID: 36800923
Almekaty K, Zahran MH, Eid A, Ralph D, Rashed A
Urology 2023 Jan;171:121-126. Epub 2022 Oct 12 doi: 10.1016/j.urology.2022.09.019. PMID: 36241065
Shunmugam M, Goldman RD
Can Fam Physician 2021 Sep;67(9):669-671. doi: 10.46747/cfp.6709669. PMID: 34521708Free PMC Article
He M, Li M, Zhang W
Andrologia 2020 Feb;52(1):e13477. Epub 2019 Nov 12 doi: 10.1111/and.13477. PMID: 31713875

Clinical prediction guides

Lacy A, Smith A, Koyfman A, Long B
Am J Emerg Med 2023 Apr;66:98-104. Epub 2023 Jan 24 doi: 10.1016/j.ajem.2023.01.031. PMID: 36738571
Langan RC, Puente MEE
Am Fam Physician 2022 Aug;106(2):184-189. PMID: 35977130
Qin KR, Qu LG
J Urol 2022 Jul;208(1):62-70. Epub 2022 Mar 3 doi: 10.1097/JU.0000000000002496. PMID: 35238603
Shunmugam M, Goldman RD
Can Fam Physician 2021 Sep;67(9):669-671. doi: 10.46747/cfp.6709669. PMID: 34521708Free PMC Article
Li XL, Lu SY, Liu TT, Zhang QM, Zhang WP, Jia LQ
Int Urol Nephrol 2020 Jun;52(6):1009-1014. Epub 2020 Feb 12 doi: 10.1007/s11255-020-02382-5. PMID: 32052246

Recent systematic reviews

Choudhury P, Saroya KK, Anand S, Agarwal P, Jain V, Dhua AK, Yadav DK, Agarwala S, Bajpai M, Mawar S, Afroz M, Verma V, Singh H, Goel P
Pediatr Surg Int 2023 Feb 22;39(1):137. doi: 10.1007/s00383-023-05401-5. PMID: 36811717
Qin KR, Qu LG
J Urol 2022 Jul;208(1):62-70. Epub 2022 Mar 3 doi: 10.1097/JU.0000000000002496. PMID: 35238603
Moore SL, Chebbout R, Cumberbatch M, Bondad J, Forster L, Hendry J, Lamb B, MacLennan S, Nambiar A, Shah TT, Stavrinides V, Thurtle D, Pearce I, Kasivisvanathan V
Eur Urol Focus 2021 Nov;7(6):1493-1503. Epub 2020 Aug 27 doi: 10.1016/j.euf.2020.07.006. PMID: 32863201
Taghavi K, Dumble C, Hutson JM, Mushtaq I, Mirjalili SA
J Pediatr Surg 2021 Aug;56(8):1405-1410. Epub 2020 Jun 25 doi: 10.1016/j.jpedsurg.2020.06.023. PMID: 32762939
MacDonald C, Kronfli R, Carachi R, O'Toole S
J Pediatr Urol 2018 Dec;14(6):503-509. Epub 2018 Oct 5 doi: 10.1016/j.jpurol.2018.09.017. PMID: 30404723

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