Testicular torsion

Question 1

Define

Answer 1

Torsion (twisting) of the spermatic cord

Question 2

Pathophysiology

Answer 2

Occlusion of testicular blood vessels

Question 3

Aetiology and RF

Answer 3

Trauma

RF: High insertion of the tunica vaginalis

Question 4

Epidemiology

Answer 4

1/4000 males under 25

Question 5

Clinical presentation

Answer 5

Acute swelling of the scrotum
Sudden severe pain in one of testis
Often follows sport of physical activity

Question 6

Diagnostic tests

Answer 6

Examination is often most sufficient

Question 7

Treatment

Answer 7

Verify by doppler ultrasound
Reduce mainly (twist back)

Question 8

Complications

Answer 8

Infarction of the affected testicle followed by atrophy