Torsion should be diagnosed clinically and a high index of suspicion maintained in order to identify and provide definitive treatment as quickly as possible.
A careful history and physical examination that is suspicious for testicular torsion may warrant immediate surgical exploration for repair without further delay by diagnostic testing. However, a history and examination leading to an unclear diagnosis warrants the need for quick diagnostic studies to avoid unnecessary surgery for a diagnosis requiring conservative management but lead to timely surgical intervention if necessary.
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