Testicular torsion in children

Can Fam Physician. 2021 Sep;67(9):669-671. doi: 10.46747/cfp.6709669.ABSTRACTQUESTION: 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.PMID:34521708 | DOI:10.46747/cfp.6709669
Source: Pain Physician - Category: Anesthesiology Authors: Source Type: research