Torsion of testicle Vs Undescended testis: What is the difference?

What is undescended testis?

Undescended testis is otherwise called cryptorchidism or cryptorchism. This is a condition in which one or both of the testes do not descend into the scrotum but remains in the abdomen, where they developed before birth. torsion of testicle vs undescended testis

    • Delayed descent

    • Hormonal(endocrine disorder) especially if both testicles are involved.

    • Mechanical if one is involved.

    • Signs and symptoms of Undescended testis

The classic sign of Undescended testis is that testicle is nonpalpable within the scrotum.

Treatment of cryptorchidism

    • Hormonal therapy (administration of human chorionic gonadotropin)

    • Surgery (orchidopexy) to achieve permanent fixation of the testis in the scrotum.

However, testicles may descend spontaneously in most cases.

Complications of undescended testis

Cryptorchidism is not properly corrected results in the following complications:

    • Degeneration or atrophy (shrinkage) of the testicles

    • Elimination or suppression of the development of male secondary sexual characteristics during puberty.

    • Damaged sperm or insufficient production (sterility) particularly if the condition is still present in adolescence or adulthood. for more details visit our site

    • Testicular torsion

    • Associated hernia 

    • Malignancy (cancer of the testis)

What is torsion of testis?

Torsion of testis is the kinking of the spermatic artery , which cuts off the blood supply to the testicle, causing it to die. It occurs when the testis rotates within the tunica vaginalis, typically occurring after physical activity or during the night. torsion of testicle vs undescended testis


Testicular torsion is a medical emergency that occurs when the spermatic cord, which provides blood flow to the testicle, becomes twisted. This can cause the testicle to lose its blood supply and become damaged.

This can cause severe pain and swelling in the affected testicle. If not treated promptly, testicular torsion can lead to the death of the testicle.

Predisposing factors/ causes of torsion of testis

torsion of testicle vs undescended testis most often affects teenage boys and young men, between the ages of 12 and 18. It can also occur in newborns and in men of any age.

The following contribute to its development:

    • Spasm of the cremaster muscles such as may occur from jumping into cold water.

    • Abnormality of positioning of testicles in the scrotum (e.g. transversely lying testis).

    • Exciting factors

    • Straining at stool

    • Weight lifting coitus 

Symptoms of torsion of testis

Severe pain that is not relieved by rest or support is the key symptoms of testicular torsion. Others are:

    • Sudden, severe pain in the affected testicle

    • Swelling of the affected testicle(tenderness)

    • Nausea and Vomiting

    •  Abdominal pain

    • Abnormal positioning of the testicle

If you experience any of these symptoms, it is important to seek medical attention immediately. If testicular torsion is not treated promptly, the testicle will die and will need to be removed.

How common is testicular torsion?

torsion of testicle vs undescended testis most often occurs in boys between the ages of 12 and 16, but it can happen at any age. It is more common in boys who have a condition called a hydrocele, in which fluid accumulates around the testicle.

Testicular torsion diagnosis

Testicular torsion is usually diagnosed based on a physical examination and a patient’s symptoms. An ultrasound may also be used to confirm the diagnosis.

The ultrasonography would rule out acute epididymitis, which usually treated with intramuscular ceftriaxone (single 250-mg dose) plus oral doxycycline (100 mg twice daily for 10 days) . This is because acute epididymitis is often associated with gonorrhoea or chlamydia

Read: Testicular Self-examination (TSE): What it’s.


Testicular torsion is a surgical emergency and the sooner it is treated, the better the chances are for preserving the testicle.

Immediate surgery to prevent necrosis of the testicles. If you have any questions or concerns about testicular torsion, please talk to your doctor.

The bottom Line

Testicular torsion and undescended testicle are both  serious conditions  that can have devastating effects on the functions of testicles resulting in infertility.

If you experience sudden, severe pain in your testicle, it is important to seek medical help immediately. Your doctor will likely perform a physical examination and order an ultrasound to confirm the diagnosis. If testicular torsion is diagnosed, surgery will be necessary to untwist the spermatic cord and save the testicle

torsion of testicle vs undescended testis

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