Torsion Testis – Emergency Care & Expert Surgical Management by Dr. Premkumar K

Torsion Testis is a urological emergency where the spermatic cord twists, cutting off blood supply to the testis. This condition causes sudden, severe scrotal pain and requires immediate medical attention. Dr. Premkumar K, a specialist in Paediatric & Reconstructive Urology, provides rapid diagnosis and urgent surgical treatment to save the affected testis and prevent long-term complications.

• Key Symptoms – Sudden severe scrotal or lower abdominal pain, swelling of the testis, nausea or vomiting, high-riding testis, redness, and inability to walk comfortably.

• Who Is at Risk? – Common in adolescents, newborns, boys with rapid growth, children with a “bell-clapper deformity,” or those with a history of intermittent scrotal pain.

• Diagnostic Evaluation – Urgent physical examination, color Doppler ultrasound to assess blood flow, and immediate clinical judgment, as treatment should not be delayed in suspected cases.

• Emergency Surgical Management – Immediate detorsion (untwisting) of the spermatic cord and fixation of the affected testis (orchiopexy) to restore normal blood flow and prevent recurrence.

• Contralateral Orchidopexy – Fixation of the opposite testis during surgery to prevent future torsion, as the anatomical defect is commonly present on both sides.

• Recovery & Follow-Up – Quick healing, minimal scarring, return to daily activities in a few days, and follow-up scans to assess testicular function and development.

• Importance of Timely Care – Treatment within 4–6 hours significantly improves the chance of saving the testis. Delays can lead to permanent damage or testicular loss.

With rapid assessment and advanced surgical expertise, Dr. Premkumar K ensures prompt and effective management of torsion testis, helping prevent long-term infertility or hormonal issues.

If your child or adolescent experiences sudden scrotal pain, immediate evaluation is critical. Contact Dr. Premkumar K for emergency care and expert paediatric urology treatment.