Handbook - Testicular Pain

Question 1

Who to involve in Mx?

Answer 1

1. REG - EMERGENCY

Question 2

Presentation:

Answer 2

1. Child / teenager
2. Sudden onset
3. N/V
4. Apyrexial

Question 3

Presentation of testicle:

Answer 3

1. High in scotum
2. Horizontal
3. Tender
4. ABSENT cremasteric reflex
5. NEGATIVE Phren’s sign - NO relief when lifting testicle

Question 4

Investigations:

Answer 4

1. Clinical Dx
2. Don’t wait for bloods

Question 5

Mx:

Answer 5

1. Scrotal exploration +/- orchidopexy +/- orchidectomy

Question 6

Diff Dx of testicular pain:

Answer 6

1. Testicular torsion
2. Torsion of testicular appendages
3. Testicular tumour
4. Epididymo-orchitis
5. Incarcerated inguinal hernia
6. Scrotal haematoma