Testicular Torsion Flashcards
What is testicular torsion?
Where the testes are twisted around the spermatic cord
What is the presentation of testicular torsion?
Acute onset of severe unilateral testicular pain
Vomiting
Abdominal pain
What are the examination findings in testicular torsion?
Firm swollen testicle
Retracted testicle
Absent cremasteric reflex
Abnormal testicular lie
What are the complications of testicular torsion?
Ischaemia
Death of the testicle
Infertility
What is the management of testicular torsion?
Analgesia
Emergency scrotal exploration
Fixation of the testicles - orchidoplexy
Orchidectomy if there is necrosis
What is the definitive investigation for testicular torsion?
Scrotal ultrasound
What are the risk factors for testicular torsion?
Prior intermittent torsion
Bell-clapper deformity
Undescended testicle
Trauma
