All evidence confirmed that Pre-puberty age has the most reported.
1.Bell clapper deformity•Congenital condition which makes testicle easily twists
- 12% of normal population were reported to having this deformity condition
2.Cold weather•A gigantic report from Brazil showing testicular torsion more likely happens in the winter and also decreasing in humidity
- The colder weather, the more cremasteric reflex happens
More testicular torsions are reported in cold weather climate.
1.Family history of testicular torsion
- Confirmed data on familial-related are reported
- Mostly on both testicular torsion at once event
The most common presentation of the symptom for testicular torsion is always single-side all sudden severe testicular pain without improving by any posture or any pain killer. The pain is so hard to describe and it makes patients couldn’t do anything and asked for someone to bringing them to the emergency unit. Once they meet urologist, a full medical history along with physical examination and proper imaging to confirm “No blood supply” on the affected testis will be taken.
Emergency surgical correction is required for testicular torsion.
The emergency surgical exploration of the scrotal sac must be done within 8 hours to releasing the twists testicle part before they are losing them. More than releasing of the blood supply, urologist must fix the testes and the scrotal walls to prevent the re-twist in the coming future. If you have any questions, please discuss with your trusted urologist.
Soarawee Weerasopone, MD
Royal Phnom Penh hospital, Kingdom of Cambodia