Testicular_Torsion_Flashcards
What is the significance of presenting within 4-6 hours of symptom onset in testicular torsion?
Presenting within 4-6 hours of symptom onset has a greater likelihood of testicular viability.
What should be done if testicular torsion is suspected?
If testicular torsion is suspected, admit immediately to urology or paediatric surgery.
What are the initial management steps for non-neonates with suspected testicular torsion?
Initial management steps for non-neonates with suspected testicular torsion include immediate urological consultation for operative repair, with supportive care such as IV fluids, NBM, antiemetics, and analgesia.
What is the role of supportive care in the management of non-neonates with testicular torsion?
Supportive care for non-neonates with testicular torsion includes morphine sulfate and ondansetron.
What is the decision about during surgery for testicular torsion?
The decision during surgery for testicular torsion is about whether to perform orchidectomy or orchidopexy, based on the extent of damage to testicular tissue.
What is done to the contralateral testicle during surgery for testicular torsion?
During surgery for testicular torsion, the contralateral testicle is fixed to the posterior wall.
What is the debate regarding neonates born with testicular torsion?
There is a debate about whether surgical intervention is necessary for neonates born with testicular torsion due to the risk of anaesthesia.
What should be done for neonates born with normal testes but develop torsion later?
For neonates born with normal testes but develop torsion later, urgent surgical exploration is necessary.
What supportive care is necessary for neonates with testicular torsion?
Supportive care for neonates with testicular torsion includes morphine sulfate and ondansetron.
When may manual de-torsion be attempted in cases of testicular torsion?
Manual de-torsion may be attempted if surgery is not available within 6 hours.
What supportive care is provided for testicular torsion?
Supportive care for testicular torsion includes pain relief, sedation, and anti-emetics.
What should be done if there is no current scrotal swelling but a history of pain and swelling in testicular torsion?
If there is no current scrotal swelling but a history of pain and swelling, refer to an outpatient with a urologist; urgency depends on the frequency and duration of episodes.
