Surgery · Urological Surgery (Kidneys, Bladder, Prostate, Urethra, Testis)

Testicular torsion presenting within 6 hours of symptom onset is associated with testicular salvage rates of approximately:

  • A 70–80%
  • B 50–60%
  • C 20–30%
  • D 90–100%
Correct answer: D. 90–100%

Explanation

Testicular torsion is a urological emergency where the spermatic cord twists, obstructing blood supply. Salvage rate is approximately 90–100% when detorsion occurs within 6 hours of onset. At 6–12 hours the salvage rate falls to 50–70%, and beyond 24 hours survival is under 10%. Orchidopexy of the contralateral testis must be performed simultaneously. Any boy with acute scrotal pain should be explored surgically without delay — Doppler ultrasound should not delay exploration.

Reference: Bailey & Love's Short Practice of Surgery, 27th ed.

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