Testicular Torsion

Question 1

What is twisted in testicular torsion

Answer 1

Spermatic cord

Question 2

Most common age of presentation

Answer 2

13-17 year olds

Rare over 30

Question 3

How does it happen

Answer 3

Usually spontaneous

Can occur with trauma/athletic activity

Question 4

Congenital abnormality that predisposes to torsion

Answer 4

Bell clapper deformity

Question 5

Symptoms of testicular torsion

Answer 5

Extreme pain in testis
Nausea + vomiting
Hot, swollen, tender testis
Testis is high + fixed and lies transversely 
ABSCENT CRESMASTERIC REFLEX

Question 6

Treatment of testicular torsion

Answer 6

Manually/surgically reduce the torsion
Orchidectomy if necrotic
Fixation of affected + contralateral side with non-absorbable sutures

Question 7

What age does torsion of the appendix of the testis occur

Answer 7

7-14

Question 8

What is twisted in torsion of appendix

Answer 8

Hydatid of morgagni- a remnant of the mullerian duct

Question 9

Presentation of torsion of appendix of testes

Answer 9

More insidious
Less pain than spermatic cord torsion
Cresmasteric reflex PRESENT
BLUE DOT SIGN

Question 10

Treatment of torsion of appendix of testes

Answer 10

Self resolves