• Revue médicale suisse · Feb 2017

    [Diagnosis and management of testicular torsion in children].

    • Vanina Estremadoyro, Blaise Julien Meyrat, Jacques Birraux, Isabelle Vidal, and Oliver Sanchez.
    • Centre universitaire romand de chirurgie pédiatrique (CURCP), Site Lausanne, CHUV, 1011 Lausanne.
    • Rev Med Suisse. 2017 Feb 15; 13 (550): 406-410.

    AbstractTesticular torsion is a true urologic emergency with a bimodal age presentation : the perinatal testicular torsion presenting with a hard, tender or non-tender scrotal mass usually with underlying dark discoloration of the skin and the peripubertal testicular torsion presenting with severe acute testicular pain, vomiting and frequently pain irradiation in the inguinal area, a high riding-horizontally positioned testis and absence of the cremasteric reflex. Obtaining a US Doppler must not add unnecessary delay to the urgent surgical treatment which entails detorsion and bilateral orchidopexy. We do not recommend manual detorsion as around 30 % of testis rotate externally. Up to 50 % of patients presenting with a testicular torsion suffered beforehand from intermittent testicular pain episodes.

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