Testicular Torsion

Question 1

What is testicular torsion?

Answer 1

Testis torse on the spermatic cord, potentially producing ischemia

Question 2

What ages does testicular torsion occur?

Answer 2

Young men, rare over 30

Question 3

Where do the testes normally rotate during torsion?

Answer 3

Medially

Question 4

Patient presents with acute scrotal pain, profound tender and swelling, n/v, negative cremasteric reflex and bell clapper deformity, what condition does the patient have?

Answer 4

Testicular torsion

Question 5

What is bell clapper deformity?

Answer 5

High riding testis oriented transversely

Question 6

What imaging should be done for testicular torsion?

Answer 6

Scrotal US with color doppler

Question 7

What is the initial treatment for testicular torsion?

Answer 7

“Opening a book”
Grasp the testicles and rotate within the scrotum medially to lateral 1-2 full 360 degree turns

Question 8

How will you know if manual detorsion assisted with testicular torsion?

Answer 8

Prompt relief of pain, lower position of testis in scrotum and return of arterial flow via doppler

Question 9

If manual detorsion provided no improvement, what should be done?

Answer 9

Rotate the testicle lateral to medial

Question 10

What procedure must be done on all patients with testicular torsion?

Answer 10

Orchiectomy

Question 11

Testicular salvage drops form 80-100% at how many hours and 0% by how many hours?

Answer 11

6-8hours
12 hours