Testicular torsion

A urological emergency caused by the twisting of the testicle on the spermatic cord leading to constriction of the vascular supply and time-sensitive ischaemia and/or necrosis of testicular tissue.

High index of suspicion is important to ensure timely diagnosis and management.

A history and physical examination consistent with testicular torsion mandates an immediate urological consultation for surgical repair.

If history and physical examination suggest testicular torsion, immediate surgical consultation and exploration should take precedence over diagnostic tests.

Usually affects young males but may affect males of any age.

Testicular torsion is a urological emergency caused by the twisting of the testicle on the spermatic cord leading to constriction of the vascular supply and time-sensitive ischaemia and/or necrosis of testicular tissue.[1]Ringdahl E, Teague L. Testicular torsion. Am Fam Physician. 2006 Nov 15;74(10):1739-43. https://www.aafp.org/afp/2006/1115/p1739.html http://www.ncbi.nlm.nih.gov/pubmed/17137004?tool=bestpractice.com