Testicular Torsion: Manual Reduction Under US Monitoring

Abstract

Torsion of the testes is a true urologic emergency, since it causes strangulation of gonadal blood supply with subsequent testicular necrosis and atrophy. A delay in diagnosis and management can lead to loss of the testicle. Therefore, accurate diagnosis and timely intervention to effect testicular salvage is required. We report a case of adolescent testicular torsion successfully reduced following manual detorsion under ultrasound monitoring at the emergency department.