In most people with testicles, the testicles can't twist because they attach to their scrotum. If you have a bell clapper deformity, your testicles hang in your scrotum and swing freely, like a clapper in a bell. The free-swinging can lead to twisting.
Diagnosis: Torsion should be suspected in any boy with acute scrotal/testicular pain. The testis and scrotum are swollen, tender and erythematous. Normal landmarks (epididymis) may not be palpable because of the swelling.
In males who have the bell clapper deformity, the testicles are unsecured and can move and twist in the scrotum. Testicular torsion can happen to boys and men of any age, but is most common in 12- to 18-year-olds. It can happen after strenuous exercise, while someone is sleeping, or after an injury to the scrotum.
Signs and symptoms of testicular torsion include: sudden, severe pain in the scrotum. swelling of the scrotum, redness, tenderness or hardening of the scrotum. nausea and vomiting.
Sudden, severe pain in the scrotum — the loose bag of skin under your penis that contains the testicles. Swelling of the scrotum. Abdominal pain. Nausea and vomiting.
To perform a testicular self-examination, grasp and roll the testicle between your thumbs and forefingers, feeling for lumps, swelling, hardness or other changes. A testicular self-exam is an inspection of the appearance and feel of your testicles.
Testicular torsion: Torsion is the twisting of the blood supply to the testicle. This cuts off the blood supply to the testicle and results in a severe, sharp pain. Torsion can occur at any time.
No, testicular torsion can't fix itself. If you don't get surgery within six hours, a surgeon will likely need to remove your affected testicle. Newborns with testicular torsion often lose their testicle.
If your son has testicular torsion, he'll feel a sudden, possibly severe pain in his scrotum and one of his testicles. The pain can get worse or ease a bit, but probably won't go away completely. If your son has sudden groin pain, get him to a hospital emergency room as soon as you can.
Common causes of testicle pain include: Injury. Infection or swelling of the sperm ducts (epididymitis) or testicles (orchitis). Twisting of the testicles that can cut off the blood supply (testicular torsion).
The bell clapper deformity, congenital anatomical abnormality present in 12% of males, is an important predisposing factor in testicular torsion in which the tunica vaginalis inserts high on the spermatic cord, leaving the testis free to rotate, however its presence in females has never been described.
The bell-clapper deformity is best defined by complete investment of the testis, epididymis and a length of the spermatic cord by the tunica vaginalis. Based on autopsy studies the rate of BCD in scrotal testis varied from 4.9% to 16%; with bilaterality in 66%–100%.
The “bell clapper” deformity means that the testicle is not firmly attached within the scrotum and can rotate on the axis of the spermatic cord. This is dangerous because blood supply to the testicle can be occluded by the twisting of the blood vessels running within the spermatic cord.
As Bell Clapper Testes do not tend to cause any symptoms unless the testis twists on its blood supply (Testicular Torsion), they may be found incidentally when a patient is being examined for another reason. Occasionally the boy complains of intermittent pain in one or other of the testicles.
However, up to 80% of males with torsion have a bell clapper malformation3 and autopsy stud- ies show that approximately 12% of males have this malformation. 4 Its prevalence implicates a genetic predisposition for torsion.
Available in lengths up to 15 inches with a standard length of 8 inches. Comes with a shackle for attachment. Expect up to two-three weeks for orders to be completed. Measure the clapper from where it will hook on to the bell to the point of strike (center of ball) then subtract 1" to allow for the attachment shackle.
Testicular torsion during sleeping mostly develops late in the night or early evening. It is related to the testis activities caused by increased nocturnal vagal excitability and sharp contraction of the cremaster in the process of penis erection or posture change.
As you get older, the muscles don't work as well, and your scrotum stays in a more slackened position. Combine that with your skin's natural decline in elasticity, and the sagging gets worse. If you're over 40, a hydrocele can also make your scrotum sag. It happens when fluid builds up around one or both testicles.
An overactive muscle causes a testicle to become a retractile testicle. The cremaster muscle is a thin pouch-like muscle in which a testicle rests. When the cremaster muscle contracts, it pulls the testicle up toward the body.
The most common sign of testicular torsion is sudden, severe pain on one side of the scrotum. The testes should be about the same size. If one side quickly becomes larger than the other, this can be a problem. Change in scrotum color, especially redness or darkening, is also a problem.
Conclusion. Testicular torsion is an important and common cause of acute testicular pain and can occur intermittently even for many years in some patients. Prompt diagnosis is critical in order initiate surgical therapy to increase likelihood of preserve testicular function.
This condition is a surgical emergency. The testicle can survive for only about six to eight hours without any blood flowing to it. After that, the tissues are damaged and the testicle no longer works. Testicular torsion can happen at any age.
A normal-appearing testicle with markedly decreased Doppler wave pulsation (decreased blood flow) suggests torsion, whereas an enlarged, thickened epididymis with increased Doppler wave pulsation (increased blood flow) suggests epididymitis.
The "bell-clapper deformity," in which there is inappropriately high attachment of the tunica vaginalis over the spermatic cord and failure of the normal posterior attachment of the testicle to the inner scrotum, which allows the testicle to move freely within the tunica vaginalis and predisposes to intravaginal ...
Introduction: The bell-clapper deformity (BCD) predisposes to intravaginal torsion (IVT) and is classically bilateral.