This week we review the presentation, examination and diagnosis of testicular torsion.
Episode 143.0 – Testicular Torsion
Show Notes
Take Home Points
- Consider the diagnosis of testicular torsion in all patients with acute testicular pain
- Testicular torsion is a surgical emergency that requires immediate urologic consultation to increase the rate of tissue salvage.
- History, physical examination and ultrasound are all flawed in making the diagnosis. The gold standard is surgical exploration
- Consider manual detorsion in patients where consultation will be delayed
Show Notes
Core EM: Testicular Torsion
Ben-Israel T et al. Clinical predictors for testicular torsion as seen in the pediatric ED. Am J Emerg Med 2010; 28:786-789.
Sidler D et al. A 25-year review of the acute scrotum in children. S Afr Med J. 1997;87(12) 1696-8. PMID:
Mellick LB. Torsion of the testicle: It is time to stopping tossing the dice. Pediatric Emer Care 2012; 28: 80-6. PMID:
Ban KM, Easter JS: Selected Urologic Problems; in Marx JA, Hockberger RS, Walls RM, et al (eds): Rosen’s Emergency Medicine: Concepts and Clinical Practice, ed 8. St. Louis, Mosby, Inc., 2014, (Ch) 99: p 1326-1356.
