Testicular Torsion

Question 1

what is testicular torsion

Answer 1

twisting or torsion of the spermatic cord

Question 2

what can testicular torsion lead to if left uncorrected

Answer 2

venous outflow obstruction, leading to arterial occlusion and testicular infarction

Question 3

is testicular torsion a surgical emergency

Answer 3

yes

Question 4

complications of untreated testicular torsion

Answer 4

damage to or death of a testicle due to lack of blood supply. The necrotic testicle must be surgically removed.

Question 5

causes of testicular torsion

Answer 5

vigorous activity

after a minor injury to the testicles

while sleeping

Question 6

how can testicular torsion present

Answer 6

Sudden onset, severe pain in one testicle

Often follows minor trauma

High riding in the scrotum

Unilateral loss of cremaster reflex

No relief in pain on elevation of the testicle (-ve Prehn’s sign)

Question 7

management of testicular torsion

Answer 7

Management involves expedited surgical exploration with fixation of the testicles with orchidoplexy