how often is manual testicular detorsion successful?

STUDY 1:

--over 10 years, looked at 35 of 104 patients who underwent pre-op manual detorsion. 

--of the 34 evaluable patients, all the testes were salvaged (i.e. 100%)

STUDY 2:

--16 Total cases of acute torsion, 15 underwent successful detorsion

--93% testicular salvage in the 15 who underwent detorsion

STUDY 3:

--14 of 17 patients had successful manual detorsion with no testicular atrophy noted after 22 months

BOTTOM LINE:

--manual testicular detorsion works pretty well

--most torsion is medial, so to detors, twist 180 degrees laterally (like opening a book); should relieve symptoms

--then call urology

Submitted by J. Gullo.

Reference(s): study 1, study 2, study 3, picture

ultrasound in testicular torsion

WHAT TO LOOK FOR:

Submitted by F. DiFranco.


Reference(s): www.sonoguide.com; Images from: Adhikari, S.R. MD. Testicular Ultrasound. Fig 5&6. Retreived from http://www.sonoguide.com; Baldisserotto, M. Scrotal emergencies. Pediatr Radiol 2009; 39:516.