Introduction. Segmental testicular infarction is a rare condition that presents with acute scrotal pain and is often clinically indistinguishable from other etiologies of scrotal pain. The diagnosis often relies on imaging studies, with testicular neoplasm being the most important differential diagnosis.
Why does testicular torsion occur?
Testicular torsion occurs when the testicle rotates on the spermatic cord, which brings blood to the testicle from the abdomen. If the testicle rotates several times, blood flow to it can be entirely blocked, causing damage more quickly.
What is a testicular Pearl?
Scrotoliths, also known as scrotal pearls, are benign incidental extratesticular macrocalcifications within the scrotum. They frequently occupy the potential space of the tunica vaginalis or sinus of the epididymis. They are usually of no clinical significance 1,2.
How do you know if your testicle is dying?
The testicle will shrink (“atrophy”) if the blood supply isn’t restored within 6 hours. With no blood, the testicle could die (or “infarct”). When the testes die, the scrotum will be very tender, red, and swollen. Often the patient won’t be able to get comfortable.
What are the symptoms of testicle infection?
Symptoms
- A swollen, red or warm scrotum.
- Testicle pain and tenderness, usually on one side, that usually comes on gradually.
- Painful urination or an urgent or frequent need to urinate.
- Discharge from the penis.
- Pain or discomfort in the lower abdomen or pelvic area.
- Blood in the semen.
- Less commonly, fever.
How do you fix a twisted testicle?
Surgery is required to correct testicular torsion. In some instances, the doctor might be able to untwist the testicle by pushing on the scrotum (manual detorsion). But you’ll still need surgery to prevent torsion from occurring again. Surgery for testicular torsion is usually done under general anesthesia.
What is Extratesticular?
Abstract. The extratesticular scrotal contents consist of the epididymis, spermatic cord, and fascia derived from the embryologic descent of the testis through the abdominal wall. As opposed to intratesticular masses, most extratesticular masses are benign.
What is Microlithiasis?
Testicular microlithiasis (tes-TIK-yoo-lur my-kroh-lih-THIE-uh-sis) is a condition in which small clusters of calcium form in the testicles. It can be detected on an ultrasound exam of the scrotum. Several studies show a relationship between testicular microlithiasis and testicular cancer.
Does a dead testicle need to be removed?
Once the testicle is dead, it must be removed to prevent gangrenous infection. After surgery, the patient will need to avoid strenuous activity and sexual activity for several weeks.
How is testicular torsion diagnosed and treated?
Testicular Torsion: Diagnosis, Evaluation, and Management. Physical examination may reveal a high-riding testicle with an absent cremasteric reflex. If history and physical examination suggest torsion, immediate surgical exploration is indicated and should not be postponed to perform imaging studies.
What are the symptoms of testicular cancer and testicular self examination?
Symptoms of testicular cancer and testicular self-examination. Symptoms of testicular cancer include a testicular lump that is usually painless (about one in 10 are painful), a sensation of heaviness in the scrotum, and a persistent ache in the affected testicle. You should take notice of anything unusual, such as:
How to perform testicular self-examination (TSE)?
How to perform testicular self-examination. Generally, the TSE procedure includes: Make sure your scrotum is warm and relaxed. You may like to perform TSE after showering or bathing. It may help to do TSE in front of the mirror, so you can see as well as feel what you’re doing. Check one testicle first, then the other.
Why are maldescended testes moved to the scrotum?
Maldescended testes are usually surgically moved into the scrotum because this reduces the risk of testicular cancer and also allows increased physical examination surveillance for testicular masses ( 26 ). This procedure is termed orchiopexy.
