Testicular Torsion in Children

Overview

Journal Can Fam Physician

Specialties General Medicine
Public Health

Date 2021 Sep 15

PMID 34521708

Citations 9

Authors

Maheshver Shunmugam

Ran D Goldman

Affiliations

Soon will be listed here.

Abstract

Question: As a family physician caring for a large pediatric population, I evaluate numerous adolescents with testicular pain. Given the gravity of prognosis for late treatment of children with testicular torsion, what are best practices for its assessment and management?

Answer: The Testicular Workup for Ischemia and Suspected Torsion (TWIST) score has been developed and validated to identify children at risk of testicular torsion. If the TWIST score is 0 and clinical suspicion is low in the office setting, a referral to urology for urgent consultation is not needed. If the TWIST score is 1 or higher or if the clinical presentation suggests torsion, manual detorsion should be attempted and the patient should be urgently sent to the nearest emergency department.

Citing Articles

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Cheng L, Yin Z, Liu H, Shi S, Lv L, Wang Y Int J Mol Sci. 2025; 26(5).

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Clinical and hematological analysis of testicular torsion in children.

Deng Q, Yang C, Mao C, Chu H Front Pediatr. 2024; 12:1399349.

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Protective Effect of Fasudil on Testicular Ischemia-Reperfusion Injury in Rats.

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Orchiopexy: one procedure, two diagnoses - different male infertility outcomes.

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A nomogram for predicting risk factors of testicular salvage after testicular torsion in children.

Chen P, Huang W, He Y, Sun M, Sun X, Huang Y Int J Urol. 2024; 31(5):568-574.

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