Acute Scrotum Flashcards
Define testicular torsion
Torsion of the spermatic cord
What is the main symptom of testicular torsion?
Sudden onset, severe, unilateral scrotal pain
What can be seen on examination in a patient with testicular torsion?
Tender, swollen, elevated testis
“Bell clapper deformity”
Absence of cremasteric reflex (unreliable)
What age range is testicular torsion most common in?
13-15yrs
How is testicular torsion diagnosed?
Clinical diagnosis
What is the only reliable investigation for testicular torsion?
Scrotal exploration
How many hours are there to save the testicle in testicular torsion?
4hrs
What is an orchidectomy?
Removal of the testis
What is the treatment for testicular torsion?
Detorsion