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Surgery AIIMS 2019 063acadd

A 10 years old boy came to emergency with complains of severe pain in right scrotum that is not relieved for the past 1 hour. On examination, testicular torsion of the right side is suspected. The surgical intervention should be:

A
Immediate scrotal exploration of the affected side and operate opposite side if symptomatic
B
Delay exploration and operate opposite side if symptomatic
C
Immediate exploration of the affected side and operate opposite side even if asymptomatic
D
Delayed exploration on the affected side along with the opposite side even if asymptomatic
High-Yield Explanation
Testicular torsion - It is a surgical emergency - Confirm the diagnosis by decreased vascularity in Doppler (IOC) - Emergency orchidopexy- Within 4 hours - In patients of ischemia - Orchidectomy - During orchidopexy- Contralateral hemiscrotum should be explored and fixed because bell clappers deformity is usually bilateral. - Bilateral orchidopexy is preferred for Testicular torsion

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