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Subjects/Surgery/AIIMS 2019
AIIMS 2019
medium
scissors Surgery

A 10 years old boy came to emergency with complains of severe pain in right scrotum that is not relieved for the past 1 hour. On examination, testicular torsion of the right side is suspected. The surgical intervention should be:

A. Immediate scrotal exploration of the affected side and operate opposite side if symptomatic
B. Delay exploration and operate opposite side if symptomatic
C. Immediate exploration of the affected side and operate opposite side even if asymptomatic
D. Delayed exploration on the affected side along with the opposite side even if asymptomatic

Explanation

Testicular torsion - It is a surgical emergency - Confirm the diagnosis by decreased vascularity in Doppler (IOC) - Emergency orchidopexy- Within 4 hours - In patients of ischemia - Orchidectomy - During orchidopexy- Contralateral hemiscrotum should be explored and fixed because bell clappers deformity is usually bilateral. - Bilateral orchidopexy is preferred for Testicular torsion

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