Testicular torsion

Question 1

What is testicular torsion?

Answer 1

Twisting of the spermatic cord causing ischaemia and necrosis of the testicle

Question 2

Describe the typical presentation of testicular torsion

Answer 2

• Rapid onset unilateral testicular pain

- May be associated with: abdominal pain, N+V

Question 3

Testicular torsion is often triggered by…

Answer 3

Activity, such as playing sport

Question 4

Describe the management of suspected testicular torsion

Answer 4

• Urgent referral to urology
• Urgent surgical exploration of the scrotum and bilateral orchiopexy (or orchidectomy if surgery delayed/there is necrosis)

Question 5

What sign may be visible on US in a patient with testicular torsion?

Answer 5

Whirlpool sign