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The differential diagnosis of testicular pain is broad and involves conditions from benign to life-threatening. The most common causes of pain in children presenting to the emergency room are testicular torsion (16%), torsion of a testicular appendage (46%), and epididymitis (35%). [4] In adults, the most common cause is epididymitis. [citation ...
The cremasteric reflex (elevation of the testicle in response to stroking the upper inner thigh) remains normal. [1] This is a useful sign to distinguish it from testicular torsion. If there is pain relieved by elevation of the testicle, this is called Prehn's sign, which is, however, non-specific and is not useful for diagnosis. [13]
Severe testicular pain, elevated testicle [1] Complications: Infertility [2] Usual onset: Sudden [1] Types: Intravaginal torsion, extravaginal torsion [1] Risk factors "Bell clapper deformity", testicular tumor, cold temperature [1] Diagnostic method: Based on symptoms [1] Differential diagnosis: Epididymitis, inguinal hernia, torsion of the ...
Scrotal mass and pain. [1] Diagnostic method: Ultrasound. [2] Epididymal cyst is a harmless sac in the testicles filled with fluid. [2]
In addition to pain, symptoms also include swelling, abdominal pain, nausea, vomiting, and a testicle in an unusual position—higher than normal or at an unusual angle—according to the Mayo Clinic.
Prehn's sign (named after urologist Douglas T. Prehn) [1] is a medical diagnostic indicator that was once believed to help determine whether the presenting testicular pain is caused by acute epididymitis or from testicular torsion. [2]
A nearly 100% salvage rate exists within the first 6 hours after the onset of symptoms; a 70% rate, within 6–12 hours; and a 20% rate, within 12–24 hours. 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.
None, burning with urination, vaginal discharge, discharge from the penis, pelvic pain, testicular pain [1] Complications: Pelvic inflammatory disease, inflammation of the epididymis, septic arthritis, endocarditis [1] [2] Causes: Neisseria gonorrhoeae typically sexually transmitted [1] Diagnostic method