Testicular torsion

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

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

A history and physical exam consistent with testicular torsion mandates an immediate urologic consult for surgical repair.

If history and physical exam 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 urologic emergency caused by the twisting of the testicle on the spermatic cord leading to constriction of the vascular supply and time-sensitive ischemia 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