Testicular Torsion Flashcards
Testicular torsion occurs when
the spermatic cord twists, cutting off the testicle’s blood supply.
cxfx
rapid onset of severe pain and tenderness in the testicles, groin, and lower abdomen
Physical examination will show
an asymmetrically high-riding testis with its long axis oriented transversely instead of longitudinally (because the torsion shortens the spermatic cord),
in testicular torsion Cremasteric reflex is
absent
Best initial test:
physical examination
Most accurate test:
Duplex ultrasound confirming the absence of blood flow in the twisted testicle
The testis suffers irreversible damage after ___of ischemia from testicular torsion.
12 hours
tx
for suspected testicular torsion is urgent surgical exploration with
intraoperative detorsion and fixation of the testes
Manual detorsion should be performed if
surgical intervention is not immediately available.