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Testicular torsion

Guidelines

Key sources

The following summarized guidelines for the evaluation and management of testicular torsion are prepared by our editorial team based on guidelines from the American College of Radiology (ACR 2024) and the European Association of Urology (EAU/ESPU 2023). ...
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Diagnostic investigations

History and physical examination
As per EAU/ESPU 2023 guidelines:
Elicit history and perform physical examination for the diagnosis of testicular torsion.
Base the clinical decision on physical examination.
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  • Diagnostic imaging

Medical management

Conservative management: as per EAU/ESPU 2023 guidelines, manage patients with torsion of testicular appendage conservatively.
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Surgical interventions

Timing of surgery: as per EAU/ESPU 2023 guidelines, recognize that testicular torsion is a pediatric urological emergency and requires immediate treatment.
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manage neonates with acute scrotum as surgical emergencies.
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  • Technical considerations for surgery