What is the emergency management for testicular torsion?

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Multiple Choice

What is the emergency management for testicular torsion?

Explanation:
Testicular torsion is a time‑sensitive emergency where restoring blood flow quickly is crucial to save the testis. The treatment approach is immediate surgical exploration to detorse the spermatic cord and assess viability, followed by orchiopexy of the affected testis to secure it. Because many cases occur in a Bell clapper deformity, fixating the other testis as well helps prevent a future torsion on that side. Manual detorsion can be a temporary measure if surgical care is delayed, but it is not definitive. Emergent orchiectomy is only necessary if the testis is nonviable, and antibiotics with observation do not address the underlying torsion.

Testicular torsion is a time‑sensitive emergency where restoring blood flow quickly is crucial to save the testis. The treatment approach is immediate surgical exploration to detorse the spermatic cord and assess viability, followed by orchiopexy of the affected testis to secure it. Because many cases occur in a Bell clapper deformity, fixating the other testis as well helps prevent a future torsion on that side. Manual detorsion can be a temporary measure if surgical care is delayed, but it is not definitive. Emergent orchiectomy is only necessary if the testis is nonviable, and antibiotics with observation do not address the underlying torsion.

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