testicular torsion

Question 1

define testicular torsion?

Answer 1

Twisting or torsion of the spermatic cord

Question 2

what is the most common form of testicular torsion?

Answer 2

• Intravaginal

Question 3

epidemiology of testicular torsion?

Answer 3

• Most common between 10-30

Question 4

what are the presenting symptoms of testicular torsion?

Answer 4

• Sudden-onset severe hemiscrotal pain
• Referred pain to the lower abdomen
• Nausea and vomiting

Question 5

signs of testicular torsion on examination?

Answer 5

• Swollen, erythematous scrotum
• Swollen testicle will lie slightly higher
• Cremasteric reflex will be lost
• Elevation of the testis will not ease the pain

Question 6

what is the first line investigation for testicular torsion?

Answer 6

• Doppler/Duplex Imaging of the Testes

should be reduced

Question 7

management plan for testicular torsion?

Answer 7

• Urgent surgical exploration (within 6 hours)

bilateral orchidopexy

Question 8

what should be done if the testicle is necrotic?

Answer 8

orchidectomy

Question 9

complications of testicular torsion?

Answer 9

• Testicular infarction
• Testicular atrophy
• Infection
• Impaired fertility

Question 10

prognosis for patients with testicular torsion?

Answer 10

• From the onset of torsion, a testicle may only survive 4-6 hrs