Podcast
Questions and Answers
What is the main cause of testicular torsion?
What is the main cause of testicular torsion?
- Disruption of the epididymis
- Excessive arterial inflow to the testis
- Venous outflow obstruction
- Inadequate fixation of the testis to the tunica albuginea (correct)
At what age group is testicular torsion more common?
At what age group is testicular torsion more common?
- Adults only
- Elderly men
- Teenagers and postpubertal boys (correct)
- Infants only
What percentage of adult patients hospitalized with acute scrotal pain have testicular torsion?
What percentage of adult patients hospitalized with acute scrotal pain have testicular torsion?
- Approximately 75%
- Less than 10%
- Nearly 100%
- Around 50% (correct)
What is the consequence of the testis suffering irreversible damage after 12 hours of ischemia due to torsion?
What is the consequence of the testis suffering irreversible damage after 12 hours of ischemia due to torsion?
How is testicular torsion usually diagnosed?
How is testicular torsion usually diagnosed?
What is the primary mechanism leading to ischemia in testicular torsion?
What is the primary mechanism leading to ischemia in testicular torsion?
What is the congenital anomaly called when the tunica vaginalis has an inappropriately high attachment, allowing the testicle to rotate freely?
What is the congenital anomaly called when the tunica vaginalis has an inappropriately high attachment, allowing the testicle to rotate freely?
At what angle twist is required during testis torsion to compromise flow through the testicular artery and cause ischemia?
At what angle twist is required during testis torsion to compromise flow through the testicular artery and cause ischemia?
What is the most common cause of testis loss in the US?
What is the most common cause of testis loss in the US?
Which type of testicular torsion occurs when the testicle twists spontaneously on the spermatic cord?
Which type of testicular torsion occurs when the testicle twists spontaneously on the spermatic cord?
What is the term used for when the testicle has not yet descended into the scrotum in neonates, predisposing it to torsion?
What is the term used for when the testicle has not yet descended into the scrotum in neonates, predisposing it to torsion?
What does testicular torsion typically present with?
What does testicular torsion typically present with?
What is a classic physical examination finding in testis torsion?
What is a classic physical examination finding in testis torsion?
In which age group should torsion be considered in evaluating men with scrotal pain?
In which age group should torsion be considered in evaluating men with scrotal pain?
What may occasionally occur in men 40-50 years old according to the text?
What may occasionally occur in men 40-50 years old according to the text?
What is the recommended action with a high degree of suspicion of testis torsion?
What is the recommended action with a high degree of suspicion of testis torsion?
What may be indistinguishable from epididymoorchitis at a later stage of testis torsion?
What may be indistinguishable from epididymoorchitis at a later stage of testis torsion?
What is the most useful adjunct to history and physical examination in the diagnosis of torsion?
What is the most useful adjunct to history and physical examination in the diagnosis of torsion?
What physical examination findings may be present in blunt testicular injury?
What physical examination findings may be present in blunt testicular injury?
When is surgical exploration recommended for scrotal injuries?
When is surgical exploration recommended for scrotal injuries?
Which ultrasound finding is highly predictive of testicular rupture?
Which ultrasound finding is highly predictive of testicular rupture?
What is the appropriate therapy for intratesticular hematoma?
What is the appropriate therapy for intratesticular hematoma?
In what scenario is testicular rupture unlikely?
In what scenario is testicular rupture unlikely?
Which scrotal injury may benefit from drainage?
Which scrotal injury may benefit from drainage?
What is the alternative to detorsion for pain relief in affected patients?
What is the alternative to detorsion for pain relief in affected patients?
What is a classic feature of 'intermittent' testicular torsion?
What is a classic feature of 'intermittent' testicular torsion?
What sign is observed when the appendage is ecchymotic?
What sign is observed when the appendage is ecchymotic?
What happens to the infarcted appendage over time if not surgically explored?
What happens to the infarcted appendage over time if not surgically explored?
In which area is the appendix testis most commonly affected by torsion?
In which area is the appendix testis most commonly affected by torsion?
What procedure is done if exploration for the infarcted appendage is pursued?
What procedure is done if exploration for the infarcted appendage is pursued?
