Regarding testicular torsion all are true EXCEPT
Is to be differentiated from acute epididymitis
Immediate management is mainly medical and surgery indicated later
Bilaterality common
May not present with dysuria
(B) Immediate management is mainly medical and surgery indicated later # Treatment of Torsion of testes: The first hour or so it may be possible to untwist testis by gentle manipulation> If manipulation is successful pain subsides & the testis is out of danger.> Arrangements should be made for early operative fixation to avoid recurrent torsion.> Torsion of a testicular appendage is sometimes mistaken for acute epididymo-orchitis and cannot be distinguished with certainty from testicular torsion.> The most common structure to twist is the appendix of the testis (the pedunculated hydatid of Morgagni) but other vestigial structures related to the testis and epididymis may also rotate> Immediate operation with ligation and amputation of the twisted appendage cures the condition> It is usually unilateral> Not associated with dysuria
Miscellaneous