Testicular Torsion Flashcards
What is testicular torsion due to?
Spermatic cord twists cutting off blood supply to testes
Who does testicular torsion typically affect?
Young, athletic males
How long is the window before there is irreversible ischamaemia?
6 hour window before ischaemia is irreversible
What are the main features of testicular torsion?
- Pain is severe and sudden
- Red and swollen testis
- Nausea and vomiting
- Fever
- Retracted testicle
What is there a loss of with testicular torsion?
Loss of cremasteric reflex
What is negative with testicular torsion?
Phren’s sign- Elevation doesn’t reduce the pain
What can be used for the diagnosis of testicular torsion?
- Surgical scrotal exploration
- Doppler ultrasound
- Loss of cremasteric reflex
When does testicular torsion typically occur?
During exercise
What is the management of testicular torsion?
Immediate surgical intervention to detort testes- fix both as bell clap is often bilateral
Why should both testes be fixed?
Fix both as bell clap is often bilateral
What is the main complication of testicular torsion?
Infertility
What is bell clap deformity?
- Fixation of testes to tunica vaginalis is absent
- Allows testicle to rotate within the tunica
- As it rotates it twists the vessels-cutting off blood supply
