Torsion of the testis

Question 1

Definition

Answer 1

Testicular torsion is the twisting of the spermatic cord, which supports the testes in the scrotum. When this occurs, blood supply is cut off to the testicles and nearby tissue in the scrotum

Question 2

Symptoms

Answer 2

• sudden onset of pain in one testis, which makes walking uncomfortable.
• pain in the abdomen
• nausea or vomitting

Question 3

Signs

Answer 3

• inflammation of one testis - tender, hot, swollen

Question 4

Tests

Answer 4

• Doppler USS demonstrates lack of blood flow to testis
• isotope scanning

Question 5

the aim is to recognize this condition before the cardinal signs and symptoms are fully manfest as prompt surgery saves the tests

If surgery is performed in <6h the salvage rate is 90-100%

Ask for consent for possible orchidectomy + bilateral fixation