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Testicular Torsion

In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan.
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Testicular Torsion

Michael A. Schick et al.
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Excerpt

Scrotal complaints are relatively common in the emergency department, comprising at least 0.5% of all emergency department visits. Testicular torsion is a time-dependent diagnosis, a true urologic emergency, and early evaluation can assist in urologic intervention to prevent testicular loss. Ultrasound is the ideal imaging modality to evaluate the scrotal contents.

Testicular viability significantly decreases 6 hours after the onset of symptoms; hence, early diagnosis is key. Testicular torsion is most common in young people but rarely may be seen in older individuals. Surgery is the only treatment.

Copyright © 2025, StatPearls Publishing LLC.

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Conflict of interest statement

Disclosure:Michael Schick declares no relevant financial relationships with ineligible companies.

Disclosure:Britni Sternard declares no relevant financial relationships with ineligible companies.

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References

    1. Monteilh C, Calixte R, Burjonrappa S. Controversies in the management of neonatal testicular torsion: A meta-analysis. J Pediatr Surg. 2019 Apr;54(4):815-819. - PubMed
    1. Osumah TS, Jimbo M, Granberg CF, Gargollo PC. Frontiers in pediatric testicular torsion: An integrated review of prevailing trends and management outcomes. J Pediatr Urol. 2018 Oct;14(5):394-401. - PubMed
    1. Velasquez J, Boniface MP, Mohseni M. StatPearls [Internet] StatPearls Publishing; Treasure Island (FL): 2023. May 8, Acute Scrotum Pain.
    1. Mellick LB, Sinex JE, Gibson RW, Mears K. A Systematic Review of Testicle Survival Time After a Torsion Event. Pediatr Emerg Care. 2019 Dec;35(12):821-825. - PubMed
    1. Mellick LB, Mowery ML, Al-Dhahir MA. StatPearls [Internet] StatPearls Publishing; Treasure Island (FL): 2023. Apr 19, Cremasteric Reflex.

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