Testicular Torsion

Question 1

What is the basic patho in testicular torsion

Answer 1

Inadequate fixation of lower pole of
testis to tunica vaginalis
Absent fixation
Testis twist on spermatic cord
Produce ischemia

Question 2

Causes of testicular torsion

Answer 2

Trauma, vigorous physical activity, or
spontaneous

Question 3

What are the s/s and clinical findings of testicular torsion

Answer 3

• Acute onset of moderate/severe testicular
pain
• Profound diffuse tenderness &
swelling
• Onset of symptoms several hours
later
• After physical activity or trauma
• Nausea & vomiting
• Abdominal pain
• Asymmetrically high-riding testis
• Hydrocele
• Overlying erythema
Physical Exam
• Negative cremasteric reflex
• Tender mass
• Superior to the testis

Question 4

Diagnostics of testicular torsion

Answer 4

Mainly through physical exam
US to confirm lack of perfusion

Question 5

Treatment plan for testicular torsion

Answer 5

Surgical vs non-surgical
Ischemia greater than 8hours can lead to infarction