20 Mar Week 3: Acute Illness Presentation – Testicular Torsion
- Length: A minimum of 150 words per post, not including references
- Citations: At least one high-level scholarly reference in APA per post from within the last 5 years
Week 3: Acute Illness Presentation – Testicular Torsion
By: Travis Ang, Soseh Babayan, & Bernadette Ashley Villena
FNP 594
Professor Larrea
Overview of the Health Issue
Testicular torsion:
Twisting of the testicles around the spermatic cord
Impaired blood supply
Permanent ischemia or damage to the testicular tissue
Urological emergency → timely intervention is essential as ischemia depends on the time frame of the torsion and the extent of twisting
(Laher et al., 2020)
Epidemiology
Can occur at any age, yet most common in:
Newborns
Adolescence → 12-18 years old
Peak → 13-14 years old
Incidence in males under 25 years old
1 in 4000
(Laher et al., 2020)
Risk Factors
Age
Teenage males
Under 25 years old
Family history
Increased risk if relative had prior history
Sports injury or trauma
High-impact sports
Torsion can happen at any instant, even when asleep
(American Academy of Pediatrics, 2023)
Signs and Symptoms
Pain, pain, pain! (unbearable pain in the scrotum with a sudden start)
Scrotum swelling with no particular reason like trauma
Nausea and vomiting
Uneven testicles, one high riding testicle
Fever
Scrotal erythema
(Mayo Foundation for Medical Education and Research, 2022)
d
Anatomy and Physiology
Testes-male sex organs responsible for the creation of sperm and testosterone secretion
Scrotum-sac that holds the epididymis, testes, distal parts of the spermatic cord
A sudden twist of the testes around the spermatic cord due to the testes not being attached well
The testes are being “put in the a choke hold” cutting all blood supply to the testicles causing the spontaneous pain, swelling and the unbalance
(Urology Care Foundation, 2022)
Diagnostic Tests
Power doppler ultrasound- most sensitive at detecting flow in and out of the testicle
Color doppler ultrasound- can show the speed and direction of blood flow with colors
Urinalysis-can detect WBC to determine if cause was from infection
(Advanced Radiology Consultant, 2021)
Treatment Methodologies
Surgery is required to correct testicular torsion
The sooner the testicle is untwisted, the greater the chance it can be saved.
After 6 hours from the start of pain, the chances of needing testicular removal are greatly increased.
In some cases, manual detorsion can be attempted
Surgery is done under general anesthesia, surgeon will make a small incision in the scrotum, untwist the spermatic cord, and stitch one or both testicles inside the scrotum.
Testicular Torsion in newborns and infants
Very rare, but can occur
(Schick & Sternard, 2022)
Differential Diagnosis
Epididmyitis (N45.1)-Erythema, Swelling and pain
Orchitis (N45)-Swelling in one or both testicles, pain, fever
Testis tumor (C62.90)-Pain, discomfort, swelling
Symptomatic hydrocele (N43)-Swollen testicle or testicular discomfort
Scrotal hematoma (S30.22XA)-swelling, pain, and bruising of the scrotum
(Schick & Sternard, 2022)
Needs of the Patient &/or Family
Post-Operative Education:
Pain medicine, rest and ice therapy will relieve pain and swelling after surgery
Rest at home for several days
Wear a scrotal support for a week after surgery
Avoid strenuous activities for 1 to 2 weeks,
Resume sexual activity after 4 to 6 weeks.
Educate boys that they can still live a normal life following testicular torsion surgery. The loss of one testicle won’t keep a man from having a normal sexual relations and is still likely to father children when the time is right.
Don’t miss follow-up appointments with your urologist after surgery.
(Mount Sinai, 2021)
References
Advanced Radiology Consultants. (2021). Color and power doppler ultrasound. Retrieved March 14, 2023, from https://www.adrad.com/ultrasound/color-power-doppler-ultrasound/#:~:text=Color%20Doppler%20converts%20the%20blood,the%20direction%20of%20blood%20flow.
American Academy of Pediatrics. (2023). Testicle pain & testicular torsion. https://www.healthychildren.org/English/health-issues/conditions/genitourinary-tract/Pages/Testicular-Torsion.aspx
Mayo Foundation for Medical Education and Research. (2022, February 24). Testicular torsion. Mayo Clinic. Retrieved March 14, 2023, from https://www.mayoclinic.org/diseases-conditions/testicular-torsion/symptoms-causes/syc-20378270
Mayo Clinic. (2022). Testicular Torsion. Retrieved from https://www.mayoclinic.org/diseases-conditions/testicular-torsion/diagnosis-treatment/drc-20378274#:~:text=Surgery%20is%20required%20to%20correct,usually%20done%20under%20general%20anesthesia.
Mount Sinai. (2022). Testicular Torsion. Retrieved from https://www.mountsinai.org/health-library/surgery/testicular-torsion-repair#:~:text=You%20may%20wear%20a%20scrotal,about%204%20to%206%20weeks.
Laher, A., Ragavan, S., Mehta, P., & Adam, A. (2020). Testicular torsion in the emergency room: A review of detection and management strategies. Open Access Emergency Medicine, 12, 237-246. https://doi.org/10.2147/OAEM.S236767
Schick, A. M., & Sternard, T. B. (2022). Testicular Torsion. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK448199/#:~:text=Other%20differential%20diagnoses%20to%20be,other%20etiology%2C%20and%20scrotal%20hematoma.
Urology Care Foundation. (2022). Testicular Torsion: Symptoms, Diagnosis & Treatment. Retrieved March 14, 2023, from https://www.urologyhealth.org/urologic-conditions/testicular-torsion
Thank you for viewing đŸ™‚
-Travis, Soseh, & Bernadette
media1.mp3
Intro
null
14.256
image1.png
media2.mp3
Overview
null
41.016
image2.png
image3.png
media3.mp3
Epidemiology
null
25.008
image4.jpg
image5.png
media4.mp3
Risk factors
null
57.264
image6.jpg
image7.png
media5.mp3
Signs and symptoms
null
43.728
image8.png
image9.png
image10.png
media6.mp3
Anatomy and Physio
null
41.256
image11.png
image12.png
media7.mp3
Diagnostic test
null
31.92
image13.png
image14.png
image15.png
media8.mp3
Treatment and methodologies
null
71.592
image16.jpg
media9.mp3
Differential Diagnoses
null
42.312
image17.jpg
image18.png
media10.mp3
Needs of patient/family
null
68.976
image19.jpg
image20.jpg
image21.jpg
Our website has a team of professional writers who can help you write any of your homework. They will write your papers from scratch. We also have a team of editors just to make sure all papers are of HIGH QUALITY & PLAGIARISM FREE. To make an Order you only need to click Ask A Question and we will direct you to our Order Page at WriteEdu. Then fill Our Order Form with all your assignment instructions. Select your deadline and pay for your paper. You will get it few hours before your set deadline.
Fill in all the assignment paper details that are required in the order form with the standard information being the page count, deadline, academic level and type of paper. It is advisable to have this information at hand so that you can quickly fill in the necessary information needed in the form for the essay writer to be immediately assigned to your writing project. Make payment for the custom essay order to enable us to assign a suitable writer to your order. Payments are made through Paypal on a secured billing page. Finally, sit back and relax.
Do you need help with this question?
Get assignment help from WriteEdu.com Paper Writing Website and forget about your problems.
WriteEdu provides custom & cheap essay writing 100% original, plagiarism free essays, assignments & dissertations.
With an exceptional team of professional academic experts in a wide range of subjects, we can guarantee you an unrivaled quality of custom-written papers.
Chat with us today! We are always waiting to answer all your questions.