TESTICULAR TORSION

This is a surgical emergency.
A high level of suspicion is needed to avoid unnecessary morbidity.

Clinical Features

  • There is sudden onset of scrotal pain in a young male.
  • The diagnosis is mostly clinical.
  • Testicular torsion must be differentiated from epididymochitis.

Investigation

  • Colour Doppler can be useful, but its absence should not delay diagnosis.

Management

  • High index of suspicion needed for this condition.
  • Rapid exploration of affected side and orchidopexy for both testes.