Testicular Torsion

Question 1

Where is the twist in testicular torsion

Answer 1

Spermatic cord

Question 2

Most common presentating age

Answer 2

10-30, peak between 13-15 years

Question 3

Symptoms of testicular torsion

Answer 3

Severe and sudden onset pain, referred pain to lower abdomen, nausea and vomiting

Question 4

Examination in testicular torsion

Answer 4

Swollen, tender testis retracted upwards. Cremasteric reflex lost, elevation of the testis does not ease the pain (Prehn’s sign)

Question 5

Management of testicular torsion

Answer 5

Urgent surgical exploration - if torted testis is identified then both testis should be fixed as the condition of bell clapper testis is often bilateral