BCEN CEN Practice Question
Manual detorsion can be initially attempted as a temporizing measure while preparing for surgical intervention in a patient with suspected testicular torsion.
False
True
Manual detorsion can be initially attempted as a temporizing measure while preparing for surgical intervention in a patient with suspected testicular torsion.
False
True
The correct answer is true. Manual detorsion is a temporizing measure that can be attempted while preparing for definitive surgical intervention. The most common type of torsion involves inward (medial) rotation of the testicle. Therefore, detorsion is typically performed by rotating the affected testicle outward (laterally), a maneuver often compared to 'opening a book'. This procedure can potentially alleviate pain and ischemia until orchiopexy (surgical fixation) can be performed. While the success rate varies, it can restore blood flow and reduce the risk of testicular loss, especially if there is a delay to surgery. However, attempts at manual detorsion should not delay prompt surgical consultation and intervention, as surgery is required for definitive treatment.
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