L2: Testicular Torsion

Question 1

Def of Testicular Torsion

Answer 1

• It refers to twisting of spermatic cord structures.
• It causes strangulation of testicular blood supply with testicular necrosis and atrophy.

Question 2

Testicular Torsion

• Is it a surgical emergency?

Answer 2

• A true surgical emergency and acute scrotal swelling in children indicates torsion until proven otherwise.

Question 3

Pathophysiology of Testicular Torsion

Answer 3

Question 4

Pathophysiology of Testicular Torsion

• Complete Torsion

Answer 4

• 360
• Both the arterial and venous blood flow will be cut off, resulting in ischemia of the involved testis.

Question 5

Pathophysiology of Testicular Torsion

• Incomplete Torsion

Answer 5

• 180
• The venous blood flow is cut off, but the arterial flow is still present.

Question 6

CP of Testicular Torsion

Answer 6

Question 7

DDx of Testicular Torsion

Answer 7

• Epididymitis
• Orchitis
• Trauma
• Testicular neoplasm

Question 8

Dx of Testicular Torsion

Answer 8

Rads

Question 9

Dx of Testicular Torsion

• Rads

Answer 9

Testicular Doppler Ultrasonography
- To evaluate vascularity of the testis.

Question 10

Dx of Testicular Torsion

• Doppler US

Answer 10

To evaluate vascularity of the testis.

Question 11

TTT of Testicular Torsion

Answer 11