What is torsion of spermatic cord (intravaginal)?

This is the real emergency in urology because irreversible damage to the testis after 4-6 hours - may result from lack of normal fixation of an appropriate portion of the testis and epididymis to the fascial and muscular of the scrotum (Bell-clapper deformity) Usually testicular torsion occurs after puberty due to an increase in the volume of the testis The cord may twist as far as 360 degree Typical clinical presentation is an acute severe testicular pain Prior history of mild testicular pain can be present Physical examination is very helpful in differentiating torsion from other pathologies( high location , transverse position and absence of the cremasteric reflex