Torsion of the Appendix Testis | Diagnosis & Treatment

How is torsion of the appendix testis diagnosed?

A pediatric urologist will examine your son and make a diagnosis based on a physical examination and family history. A scrotal ultrasound or an x-ray or both are sometimes taken. If there is a lot of swelling or the radiology tests are inconclusive, the urologist may perform exploratory surgery to rule out testicular torsion, which is a medical emergency.

How is torsion of the appendix testis treated?

Once properly diagnosed, no treatment is generally needed, other than observation and measures to relieve pain, such as:

  • rest
  • analgesics, such as acetaminophen and ibuprofen
  • an ice pack over the affected area

Once symptoms subside, the problem is unlikely to recur. If the pain persists more than 10 days, your son might need surgery to correct the problem.