Testicular Disorders: Testicular torsion, Varicocele, Testicular cancer
Testicular Disorders: Testicular torsion, Varicocele, Testicular cancer ( 15 Questions)
What surgical intervention might be recommended to prevent future episodes of torsion?
Orchiectomy. Orchiectomy involves the surgical removal of the testicle. This is not an appropriate intervention for preventing future episodes of testicular torsion because it results in the permanent loss of the affected testicle. While it may be necessary in severe cases of testicular torsion with irreparable damage, it is not a preventive measure.
Varicocelectomy. Varicocelectomy is the surgical removal of varicose veins in the scrotum (varicocele). While varicoceles can be a risk factor for testicular torsion, removing them through varicocelectomy does not address the underlying issue of testicular torsion itself. It may improve fertility in cases where varicoceles are causing infertility, but it is not a direct preventive measure for torsion.
Epididymectomy. Epididymectomy involves the surgical removal of the epididymis, a structure attached to the testicle. This procedure is not a recommended intervention for preventing future episodes of testicular torsion. Removing the epididymis can lead to complications and does not address the root cause of torsion.
Orchidopexy. Orchidopexy, also known as orchiopexy, is the surgical fixation of the testicle to the scrotum. It is the appropriate surgical intervention to prevent future episodes of testicular torsion. By securing the testicle in place, orchidopexy reduces the risk of it twisting again, thus preventing torsion recurrence. This procedure is commonly performed in cases of testicular torsion, especially in pediatric patients, and is considered the standard of care for preventing future torsion episodes.
Choice A rationale:
Orchiectomy.
Orchiectomy involves the surgical removal of the testicle.
This is not an appropriate intervention for preventing future episodes of testicular torsion because it results in the permanent loss of the affected testicle.
While it may be necessary in severe cases of testicular torsion with irreparable damage, it is not a preventive measure.
Choice B rationale:
Varicocelectomy.
Varicocelectomy is the surgical removal of varicose veins in the scrotum (varicocele).
While varicoceles can be a risk factor for testicular torsion, removing them through varicocelectomy does not address the underlying issue of testicular torsion itself.
It may improve fertility in cases where varicoceles are causing infertility, but it is not a direct preventive measure for torsion.
Choice C rationale:
Epididymectomy.
Epididymectomy involves the surgical removal of the epididymis, a structure attached to the testicle.
This procedure is not a recommended intervention for preventing future episodes of testicular torsion.
Removing the epididymis can lead to complications and does not address the root cause of torsion.
Choice D rationale:
Orchidopexy.
Orchidopexy, also known as orchiopexy, is the surgical fixation of the testicle to the scrotum.
It is the appropriate surgical intervention to prevent future episodes of testicular torsion.
By securing the testicle in place, orchidopexy reduces the risk of it twisting again, thus preventing torsion recurrence.
This procedure is commonly performed in cases of testicular torsion, especially in pediatric patients, and is considered the standard of care for preventing future torsion episodes.