Torsion testiculaire intermittente : Un diagnostic clinique difficile

Dernière mise à jour : 18 mai 2026

• Facebook
• Instagram
• WordPress
• Télégramme
• WhatsApp
• LinkedIn
• Courrier

I have been seeing several cases related to the Intermittent testicular torsion’s patients throughout my practicing in urological. Patients were always at the emergency room with a severe testicular pain. The pain was extremely bad, so bad to make patient couldn’t do anything besides laid down on the bed and sobbing to get help. First, I’m sure that there’re some Urologists will assume this emergency condition that called a “Torsion testiculaire” which I was written this article previously.

• Centre d'urologie Hôpital de Bangkok Thaïlande Réservation en ligne 02-310-3009 bhquro@bdms.co.th
• Hôpital Samitivej Sriracha Chonburi 088-022-1445

Realistically, it is not simply as in the textbook. The Classical torsion must show there’s no a sign of “blood supplying” during perform a doppler ultrasonography. What if there still has blood supplying from the imaging showed? How can we tell them what’s going on for the diagnostic? This is why we need to figure out the Intermittent torsion today.

La torsion testiculaire intermittente est un état du testicule qui peut se libérer de lui-même. Une fois la torsion libérée, la douleur disparaît radicalement. L'absence d'identification de cet état peut conduire à la véritable torsion testiculaire, qui entraîne la perte des testicules.

Clinique suspecte sur la torsion testiculaire intermittente

1. Apparition soudaine d'une douleur testiculaire
2. Très sévèrement sur les testicules douloureux
3. Il faut toujours se plaindre d'un côté du testicule : la plus grande partie se trouve du côté gauche
4. La douleur s'étend généralement jusqu'à la région de l'aine.
5. La douleur devrait disparaître d'elle-même en moins d'une heure.
6. La douleur peut réapparaître quelques semaines ou quelques mois plus tard.
7. L'horizontalité du testicule pendant la période de torsion est un signe classique de l'examen physique.

Imagerie de la torsion testiculaire intermittente

• L'apport normal de sang testiculaire à partir de l'échographie Doppler sera signalé.

Once Intermittent testicular torsion is being suspected, that would be recommended to do the operation called “Orchiopexy” or testicular fixation operation to avoid recurrent testicular torsion in the future. Any questions, talk to your trusted urologist, or it would be my honor if you text me.

Vous pouvez visiter ma page d'accueil officielle ici.

Frequently Asked Questions About Intermittent Testicular Torsion

What is intermittent testicular torsion and how is it different from classical torsion?

Intermittent testicular torsion is a condition where the testicle twists on the spermatic cord but spontaneously untwists on its own, causing the pain to resolve without intervention. Unlike classical testicular torsion where blood flow is absent on Doppler ultrasound, intermittent torsion shows normal blood flow because the torsion has already resolved by the time of imaging. This makes it significantly harder to diagnose, and failure to identify it can eventually lead to true torsion and testicular loss.

What are the warning signs of intermittent testicular torsion?

Key warning signs include: sudden onset of severe one-sided testicular pain (most commonly left-sided), pain radiating to the groin, pain that resolves completely within one hour, and recurrence of similar episodes weeks to months later. A classic physical sign is a horizontally lying testis during the torsion episode. These recurring episodes of spontaneously resolving severe testicular pain should always raise suspicion for intermittent torsion.

What is the treatment for intermittent testicular torsion?

Once intermittent testicular torsion is suspected based on clinical history and examination, elective surgical fixation called orchiopexy (testicular fixation) is recommended. This procedure secures the testicle to prevent future torsion events. Without treatment, patients are at ongoing risk of acute testicular torsion that could lead to permanent testicular loss.

If you or your son has experienced recurring episodes of sudden, severe testicular pain, Dr. Soarawee Weerasopone offers specialist consultations at Bangkok Hospital Headquarters. Prendre rendez-vous.

Avis de non-responsabilité : Ce contenu est rédigé et revu par le Dr Soarawee Weerasopone, urologue certifié au siège de Bangkok Hospital. Il est destiné uniquement à des fins éducatives et ne constitue pas un avis médical. Consultez toujours un professionnel de la santé qualifié avant de commencer tout traitement médical.