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What is the most reliable method for diagnosing
testicular torsion?
A) Doppler (Duplex color).
B) Radionuclide scan.
C) Surgical exploration.
D) Checking the cremasteric reflex.
E) MRI.
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dont you dare waste time on diagnosing testicular torsion. surgery is the way to go
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c) if u suspect torsion clinically.... u dont waste time doing other tests! straight surgery!
whats the answer?
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The correct answer is C. Every patient with suspected
testicular torsion should have surgical exploration
of the scrotum. All of the other studies are
adjunctive. For example, radionuclide scan has a false
negative rate of about 20%. Surgical exploration is the
only definitive diagnostic tool. The window of opportunity
for surgery is about 6 hours, after which the testicle
may not be salvaged. Orchiopexy should be
performed on the involved and uninvolved sides to prevent
torsion.