Testicular Torsion

Question 1

What is testicular torsion?

Answer 1

Twisting on the testicle on its spermatic cord within the tunica vaginalis

Question 2

What are risk factors for testicular torsion?

Answer 2

Young age
Previous torsion 
Bell clapper deformity 
Cryptorchidism 
FHx

Question 3

What is a bell clapper deformity?

Answer 3

Horizontal lie of the testicle due to failure of the tunica vaginalis to fix to the scrotum

Question 4

What are the symptoms of testicular torsion?

Answer 4

Unilateral pain

N+V

Question 5

What are the signs of testicular torsion?

Answer 5

Swollen high riding testicle
Absent cremasteric reflex
Negative Prehn’s sign

Question 6

What is Prehn’s sign?

Answer 6

Pain relieved on lifting the ipsilateral testicle

Question 7

How is the diagnosis of testicular torsion made?

Answer 7

Clinically

Question 8

How soon should a testicular torsion be operated on?

Answer 8

Within 6 hours

Question 9

How is testicular torsion managed?

Answer 9

Bilateral orchidopexy

Question 10

Why is a bilateral orchidopexy done?

Answer 10

Prevent further episode of torsion