When the appendix testis undergoes torsion, a hard, tender nodule may be palpable on the upper pole of the testicle, and a blue discoloration referred to as the “blue dot sign” may be visible in this area. However, scrotal edema develops rapidly and often obscures physical examination findings.
- 1 How do you manually Detorse a testicle?
- 2 What does absent cremasteric reflex mean?
- 3 What diagnosis is horizontal lie of the testicle associated with?
- 4 Is the Cremaster reflex normal?
- 5 Can a testicle rotate?
- 6 Can one testicle twist?
- 7 What is the function of the Cremasteric muscle?
- 8 What is a positive cremasteric reflex?
- 9 How useful is the cremasteric reflex in diagnosing testicular torsion?
- 10 What is it called when you remove your balls?
- 11 How do you fix a twisted testicle?
- 12 Can you fix bell clapper?
- 13 Do all men have Cremaster reflex?
- 14 What causes an overactive cremaster muscle?
- 15 How do I calm my cremaster muscle?
How do you manually Detorse a testicle?
- Provide parenteral analgesia or perform cord block (grasp cord at external ring and inject 10 mL lidocaine directly into cord)
- “Open the book” by twisting testicle outward and laterally.
- Repeat rotation 2 – 3 times until testicle is detorsed and pain decreases.
What does absent cremasteric reflex mean?
The cremasteric reflex is performed as part of an evaluation of acute scrotal pain to assess for evidence of testicular torsion. The absence of the reflex is considered to be diagnostic for testicular torsion.
What diagnosis is horizontal lie of the testicle associated with?
Horizontal lie of the testicle: a diagnostic sign in torsion of the testis. J Urol.
Is the Cremaster reflex normal?
This reflex is elicited by lightly stroking or poking the superior and medial (inner) part of the thigh—regardless of the direction of stroke. The normal response is an immediate contraction of the cremaster muscle that pulls up the testis ipsilaterally (on the same side of the body).
Can a testicle rotate?
During testicular torsion a testicle rotates, twisting the spermatic cord that brings blood to the scrotum, the loose bag of skin under the penis that contains the testicles. The reduced blood flow causes sudden and often severe pain and swelling.
Can one testicle twist?
In most males, a testicle can’t twist because the tissue around it is well attached. Some males are born with no tissue holding the testes to the scrotum. This lets the testes “swing” inside the scrotum (often called a “bell clapper” deformity). Torsion can happen on either side, but rarely on both sides.
What is the function of the Cremasteric muscle?
Transient retraction of the testis out of the scrotum is a normal reflex caused by contraction of the cremaster muscle. This muscle functions to regulate the temperature of the testis and to protect it from extrinsic trauma.
What is a positive cremasteric reflex?
This reflex is elicited by stroking or pinching the medial thigh, causing contraction of the cremaster muscle, which elevates the testis. The cremasteric reflex is considered positive if the testicle moves at least 0.5 cm.
How useful is the cremasteric reflex in diagnosing testicular torsion?
The cremaster reflex has been reported to be absent in 100% of cases of testicular torsion, making it a useful sign in this difficult diagnosis. The authors report a case of surgically confirmed testicular torsion in which the cremasteric reflex clearly was present at presentation.
What is it called when you remove your balls?
An orchiectomy (or orchidectomy) is a surgical procedure to remove one or both testicles. Testicles are two small organs that hang in a sac of skin (the scrotum) below the penis.
How do you fix a twisted testicle?
Surgery is required to correct testicular torsion. In some instances, the doctor might be able to untwist the testicle by pushing on the scrotum (manual detorsion). But you’ll still need surgery to prevent torsion from occurring again. Surgery for testicular torsion is usually done under general anesthesia.
Can you fix bell clapper?
Bell Clapper Testes can be treated by a day case operation to fix the testicles in the scrotum. This operation is called Scrotal Fixation of Testes. If your son develops pain in their testicle you should take them straight to your local Emergency Department.
Do all men have Cremaster reflex?
The cremasteric reflex is a function of the genitofemoral nerve (L1) and is present in all boys older than 2 years of age.
What causes an overactive cremaster muscle?
Cold temperature and anxiety are two factors that trigger what is known as the cremasteric reflex, or the pulling of the testicles upward toward the groin. However, excessive contraction can result in testicular retraction. There is no known cause for why the cremasteric reflex is exaggerated in certain boys.
How do I calm my cremaster muscle?
The cremaster muscle occasionally experiences painful spasms or cramps in adult males which can be chronic and debilitating. Treatment for these spasms ranges from minor surgery to injection with botulinum-a toxin to the regular application of heat to relax the muscle.