Testicular Torsion

Question 1

Why is it important to identify testicular torsion early.

Answer 1

Prompt surgery saves testes.

Question 2

What is the salvage rate for testis following testicular torsion. (2)

Answer 2

If surgery is performed in 24h, the salvage rate is 0-10%.

Question 3

What are the symptoms of testicular torsion. (3)

Answer 3

Sudden onset of pain in one testis, which makes walking uncomfortable.
Abdominal pain.
Nausea and vomiting are common.

Question 4

What are the signs of testicular torsion on physical exam. (2)

Answer 4

Inflammation of one testis - it is very tender, hot and swollen.
The testis may lie high and transversely.

Question 5

What should be remembered in cases of intermittent torsion.

Answer 5

With intermittent torsion the pain may have passed on presentation, but if it was severe, and the lie is horizontal, prophylactic fixing may be wise.

Question 6

What is the age group most commonly affected by testicular torsion.

Answer 6

11-30 year olds.

Question 7

What are the main differentials for testicular torsion. (5)

Answer 7

Testicular torsion. 
Epididymo-orchitis. 
Tumour. 
Trauma. 
Acute hydrocele.