eMedicine Specialties > Urology > Common Problems of the Testicle
Testicular Torsion: Workup
Updated: Feb 9, 2007
Workup
Laboratory Studies
- If the patient does not show clinical evidence of testicular torsion, a urinalysis and culture may help exclude urinary tract infection and epididymitis as the etiology of the scrotal complaints.
- If testicular torsion is clinically suggested, perform immediate surgical exploration, regardless of laboratory studies because a negative finding upon exploration of the scrotum is more acceptable than the loss of a salvageable testis.
Imaging Studies
- The following diagnostic tests may be useful when a low suspicion of testicular torsion exists:
- Scrotal color Doppler sonogram is usually diagnostic by verifying arterial flow.
- Nuclear testicular scan can help differentiate torsion from acute epididymitis by demonstrating cold spot and ring signs.
More on Testicular Torsion |
| Overview: Testicular Torsion |
Workup: Testicular Torsion |
| Treatment: Testicular Torsion |
| Follow-up: Testicular Torsion |
| Multimedia: Testicular Torsion |
| References |
| « Previous Page | Next Page » |
References
Barada JH, Weingarten JL, Cromie WJ. Testicular salvage and age-related delay in the presentation of testicular torsion. J Urol. Sep 1989;142(3):746-8. [Medline].
Brandt MT, Sheldon CA, Wacksman J, Matthews P. Prenatal testicular torsion: principles of management. J Urol. Mar 1992;147(3):670-2. [Medline].
Johnston BI, Wiener JS. Intermittent testicular torsion. BJU Int. May 2005;95(7):933-4. [Medline].
Lewis AG, Bukowski TP, Jarvis PD, et al. Evaluation of acute scrotum in the emergency department. J Pediatr Surg. Feb 1995;30(2):277-81; discussion 281-2. [Medline].
Mor Y, Pinthus JH, Nadu A, et al. Testicular fixation following torsion of the spermatic cord--does it guarantee prevention of recurrent torsion events?. J Urol. Jan 2006;175(1):171-3; discussion 173-4.
Rabinowitz R, Hulbert WC Jr. Acute scrotal swelling. Urol Clin North Am. Feb 1995;22(1):101-5. [Medline].
Smith-Harrison LI, Koontz WW. Torsion of the Testis: Changing Concepts. AUA Updates. 1990;32.
Sun J, Liu GH, Zhao HT, Shi CR. Long-term influence of prepubertal testicular torsion on spermatogenesis. Urol Int. 2006;77(3):275-8.
Further Reading
Keywords
testicular torsion, intravaginal testicular torsion, extravaginal testicular torsion, torsion of the spermatic cord, torsion of the testis, epididymitis, orchitis, epididymo-orchitis, pyuria, bacteriuria, leucocytosis, contralateral orchidopexy, orchiectomy, testicular necrosis, testicular atrophy, scrotal swelling, intermittent testicular torsion, acute scrotum, bell-clapper deformity
Workup: Testicular Torsion