断続的な精巣捻転症：困難な臨床診断

最終更新日： 2026年5月18日

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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 “精巣捻転症” which I was written this article previously.

• 泌尿器センター バンコク病院 タイ オンライン予約 02-310-3009 bhquro@bdms.co.th
• サミティジ・シラチャ病院 チョンブリ 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.

断続的な精巣捻転は、それ自体で捻転を解放することができる精巣の状態です。ねじれが解放されると、痛みは劇的になくなります。この状態を特定できないと、実際の精巣捻転につながり、精巣の喪失につながる可能性があります。

断続的な精巣捻転症の臨床的疑い

1. 睾丸の痛みを伴う突然の発症
2. 睾丸の痛みを伴う非常にひどい
3. 常に睾丸の片側に文句を言う：それのほとんどは左側にあります
4. 痛みは通常、鼠径部に直接干渉しました
5. 痛みは1時間以内に消えるはずです
6. 痛みは数週間または数ヶ月後に再発する可能性があります
7. ねじれ期間中の精巣の水平方向のうそは、古典的な身体検査の兆候です

断続的な精巣捻転症のイメージング

• ドップラー超音波から供給される正常な精巣血液が報告されます

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.

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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. 診療をご予約.

**免責事項:** このコンテンツは、バンコク病院本部の認定泌尿器科医であるSoarawee Weerasopone博士によって作成およびレビューされました。教育目的のみのものであり、医学的アドバイスを構成するものではありません。いかなる医療処置を開始する前にも、必ず資格のある医療専門家にご相談ください。.