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Testicular torsion may also be caused by trauma to the scrotum or exercise (in particular, bicycle riding); [10] however, only about 4–8% of cases are the result of trauma. [1] [2] There is thought to be a possible genetic basis for predisposition to torsion, based on multiple published reports of familial testicular torsion. [10]
Therefore, testicular torsion is a surgical emergency and the role of ultrasound is to differentiate it from epididymitis as both disease presents with acute testicular pain clinically. [citation needed] There are two types of testicular torsion: extravaginal and intravaginal. Extravaginal torsion occurs exclusively in newborns.
An inguinal hernia or groin hernia is a hernia (protrusion) of abdominal cavity contents through the inguinal canal. Symptoms, which may include pain or discomfort especially with or following coughing, exercise, or bowel movements , are absent in about a third of patients.
Testicular torsion may result in irreversible damage to the testicle within hours. A collection of serous fluid in the spermatic cord is named 'funiculocele'. The contents of the abdominal cavity may protrude into the inguinal canal, producing an indirect inguinal hernia. Varicose veins of the spermatic cord are referred to as varicocele ...
A hernia that exits the abdominal cavity directly through the deep layers of the abdominal wall, thereby bypassing the inguinal canal, is known as a direct inguinal hernia. In males with strong presentation of the cremasteric reflex , the testes can—during supine sexual activity or manual manipulation—partially or fully retract into the ...
The cremasteric reflex may be absent with testicular torsion, upper and lower motor neuron disorders, as well as a spine injury of L1-L2. It can also occur if the ilioinguinal nerve has accidentally been cut during a hernia repair. [4] The cremasteric reflex can be helpful in recognizing testicular emergencies.
Testicular torsion is also more likely in retained testicles. Surgical correction is by palpation of the retained testicle and subsequent exploration of the inguinal canal or abdomen, but showing altered dogs is against AKC rules, making this correction pointless for breeding stock.
This is an accepted version of this page This is the latest accepted revision, reviewed on 22 January 2025. Sac of skin that protects the testicles For the obsolete dinosaur fossil name, see Megalosaurus § "Scrotum humanum". Scrotum A human's scrotum in a relaxed state (left) and a tense state (right) Details Precursor Labioscrotal swellings System Reproductive system Artery Anterior scrotal ...