{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T17:54:29Z","timestamp":1777312469949,"version":"3.51.4"},"reference-count":24,"publisher":"Hamad bin Khalifa University Press (HBKU Press)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,12,24]]},"abstract":"<jats:p>Testicular torsion is a rare disease that mostly involves children. Peak incidence is in infancy and in adolescence. Testicular torsion is rarely seen in men over 40 years of age and has only once been accompanied with spermatocele. We report the case of a 40-year-old man with testicular pain one day prior to visiting our clinic. The patient's visit to the clinic was delayed due to history of occasional testicular pain related to his bilateral spermatoceles. On arrival, a color Doppler ultrasound test was performed, which revealed heterogeneous echo in the right testis with no vascular flow, suggestive of torsion, as well as two cystic lesions in the right and left scrotums indicating spermatoceles. The patient was immediately transferred to the operating room where the bilateral spermatoceles were resected and after detorting, the right testis was saved. After four months, a normal left testis along with partial right testicular atrophy was observed. It is highly recommended to educate patients with spermatocele who have no indication for surgical treatment to visit their physician in case any new testicular pain is experienced. Furthermore, testicular pain regardless of the co-existing pathology may always be treated as an indicator of suspected torsion.<\/jats:p>","DOI":"10.5339\/qmj.2016.10","type":"journal-article","created":{"date-parts":[[2019,7,12]],"date-time":"2019-07-12T08:30:26Z","timestamp":1562920226000},"source":"Crossref","is-referenced-by-count":3,"title":["A 40-year-old man with testicular torsion and large bilateral spermatoceles"],"prefix":"10.5339","volume":"2016","author":[{"given":"Mojtaba","family":"Ameli","sequence":"first","affiliation":[{"name":"1Department of Urology, Faculty of Medicine, Gonabad University of Medical Sciences, Gonabad, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arezou","family":"Parsapour","sequence":"additional","affiliation":[{"name":"2Faculty of Medicine, Student Research Committee, Gonabad University of Medical Sciences, Gonabad, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leila","family":"Gholami-Mahtaj","sequence":"additional","affiliation":[{"name":"1Department of Urology, Faculty of Medicine, Gonabad University of Medical Sciences, Gonabad, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3277","reference":[{"key":"CIT0001","series-title":"Br J Surg.","first-page":"988","article-title":"Testicular torsion in Bristol: A 25-year review","volume":"75","author":"Anderson\n\u00a0\nJB","year":"1988"},{"key":"CIT0002","series-title":"BJU Int.","first-page":"349","article-title":"Torsion of the testis","volume":"86","author":"Cuckow\n\u00a0\nPM","year":"2000"},{"key":"CIT0003","series-title":"Korean J Urol.","first-page":"1159","article-title":"Twist and shout: A clinical and experimental review of testicular torsion","volume":"50","author":"Ellati\n\u00a0\nRT","year":"2009"},{"key":"CIT0004","series-title":"J Urol.","first-page":"2109","article-title":"Adult 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