Testicular torsion Flashcards
What is the difference between testicular incarceration and strangulation?
Incarceration: Stuck in canal
Strangulation: Causing problems from spermatic cord
What age does testicular torsion most commonly present?
10-25
What are some risk factors for developing testicular torsion?
Inadequate connective tissue in scrotum
Trauma
Strenuous exercise
Which side is more common for testicular torsion?
Right
What does the affected side look like in terms of external positioning?
Higher
How is diagnosis made for testicular torsion?
Doppler imaging showing decreased or absent blood flow
How is testicular torsion treated?
Surgery.
The testicle can be saved about ____% of the time when untwisted within 6 hrs.
90%
The testicle can be saved about ____% of the time when untwisted after 12 hrs.
50%
The testicle can be saved about ____% of the time when untwisted after 24 hrs
10%
How is surgery done for testicular torsion?
Cut in scrotum
Untwist cord
Stitch testicle to inside of scrotum to prevent rotation
How is epididymitis different from testicular torsion on exam?
Epididymitis is exquisitely tender posteriorly
How does prostatitis present?
Generalized insidious groin pain on palpation with enlarged prostate.
Spongy texture
