Torsion of the spermatic cord (torsion of the testis) is an important surgical
urologic emergency most commonly seen in adolescent males. It causes
strangulation of the blood supply to the testis. Unless treatment is done in
accurate time testicul
ar ischemia, functional disorders, atrophy even death
of the testis may occur. So it is an important and risky lesion necessitates
suitable management. 22 cases of testicular torsion were studied at
ALASSAD University Hospital (University of Tishreen ) during 3 years and
3 months .Diagnostic was confirmed by symptoms and clinical examination:
Acute and sudden testicular pain happened in all cases (100%), testicular
swelling was found in (95%), retracted testis with horizontal orientation in
(100%), anterior epididymal position in (100%). Colored Doppler
sonography was done in (90.9%). Surgical detorsion with contra- lateral
orchiopexy was achieved in all cases without orchiectomy.
In conclusion, testicular torsion is supposed to be suspected in all cases of
testicular, acute, sudden pain, in adolescent male and this can be verified by
complementary exameninatios as: color Doppler sonography and scintillation scan without washing time, and all cases should to be followed
up in the future.
