TESTICULAR TORSION

Question 1

Does testicular torsion require emergent diagnosis to salvage the testicle?

Answer 1

Yes

Question 2

In what do the testis twist on the spermatic cord, potentially producing ischemia from reduced arterial inflow and venous outflow obstruction?

Answer 2

Testicular torsion

Question 3

How quickly does the diagnosis and treatment of testicular torsion need to be to prevent the loss of the testis?

Answer 3

6 hours

Question 4

Why is testicular torsion more common on the left side?

Answer 4

Longer spermatic cord

Question 5

True or False

Testicular torsion tends to occur more in young men and is rare in men older than 30 y/o

Answer 5

True

Question 6

In which direction does testicular torsion normally rotate?

Answer 6

Usually rotates medially

Question 7

What are these signs and symptoms of?
1. Acute scrotal pain
a. often occurs several hours after vigorous physical activity
or minor trauma to the testicles
2. Profound tenderness and swelling
3. Nausea and vomiting
4. Negative cremasteric reflex
a. due to impingement of cremasteric muscle and nerve
5. Bell clapper deformity
a. high-riding testis oriented transversely

Answer 7

Testicular torsion

Question 8

A scrotal ultrasound for testicular torsion is used to check for what?

Answer 8

absent or diminished blood flow

Question 9

What is the treatment for testicular torsion?

Answer 9

Manual detorsion “opening a book”

Question 10

Testicular torsion

Prompt relief of pain, lower position of the testis in the scrotum, and return of arterial flow on doppler ultrasound suggests what?

Answer 10

Detorsion

Question 11

About what number of cases of testicular torsion have lateral rotation instead of medial?

Answer 11

1/3 of cases

Question 12

Regardless of the result of manual detorsion, patients with testicular torsion require what?

Answer 12

Surgical exploration and detorsion

Question 13

Saving the testicle in torsion drops from around 80-100% at 6-8 hours to nearly what percentage at 12 hours?