Testicular torsion most commonly occurs in which age group?

• A. Adolescents
• B. Infants
• C. Older adults
• D. Mid-life adults

Answer: (A)

Testicular torsion is most likely to occur during adolescence because this is when the testicles undergo rapid growth and a common congenital finding—bell clapper deformity—makes the testis more freely mobile within the scrotum. That increased mobility allows the spermatic cord to twist more easily, cutting off blood flow to the testicle and causing sudden, severe pain. While infants can experience torsion, the highest incidence is in the teenage years, when puberty-related changes heighten the risk. The other age groups—infants outside the neonatal period, older adults, and mid-life adults—have torsion far less frequently, with scrotal pain in those ages more often due to other conditions.