Although the term “testicular torsion” (TT) is most commonly used, it is a pathologic misnomer. “Torsion of the spermatic cord” is the anatomically correct description of the urologi...
TT has a diverse spectrum of presentation, from the “classic presentation” to complete absence of ipsilateral scrotal pain. The “classic” history, exam, and imaging findings are helpful...
Acute TT requires emergent detorsion.
In most circumstances, time of symptom onset equals ischemia time.
Rates of orchiectomy sharply increase 6 to 8 hours after symptom onset.
How TT may affect fertility, regardless of whether a testis was saved or removed, is unclear.
Some testicular atrophy, even after short-duration TT, is common.
Previous TT is a rar...
Bayne CE, Villanueva J, Davis TD, et al. Factors associated with delayed presentation and misdiagnosis of testicular torsion: a case-control study. J Pediatr. 2017;186:200–204...
608.20 Torsion of testis
608.2 Torsion of testis
608.21 Extravaginal torsion of spermatic cord
608.22 Intravaginal torsion of spermatic cord
608.23 Torsion of appendix testis
608.24 Torsion of ap...
Q: Does decreased or increased flow on CDUS rule out TT?
A: No. In fact, TT in this setting is reported throughout the literature.
Q: Can a testis be salvaged despite symptoms of >6 hours duratio...
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