Manual Detorsion Of Testicular Torsion

Manual Detorsion Of Testicular Torsion Manual detorsion should be avoided if more than 6 hours have passed since the onset of testicular torsion. what is testicular torsion? testicular torsion occurs when a testicle rotates and twists the spermatic cord, which is a cord like structure containing blood vessels, nerves, and ducts that run to and from the testes. Manual detorsion. during initial examination, manual detorsion may be attempted. this is done by elevating the testis toward the ipsilateral inguinal ring, stabilizing the cranial portion of the spermatic cord, and rotating the testis laterally. if successful, there will be a lengthening of the spermatic cord and immediate relief of pain.

Manual Detorsion Of Testicular Torsion Overview. torsion of the testes is a surgical emergency, because it causes strangulation of gonadal blood supply with subsequent testicular necrosis and atrophy. [1, 2] acute scrotal swelling in children indicates torsion of the testes until proven otherwise. testicular torsion is a true urologic emergency; a delay in diagnosis and management. Manual detorsion is a safe and non invasive maneuver that should be attempted in all cases of testicular torsion. it reduces length of testicular ischemia and maximizes testicular salvage rate. after a successful manual detorsion, defined as complete pain resolution and normal color doppler ultrasound after the maneuver, non emergency. Testicular torsion is an emergency condition due to rotation of the testis and consequent strangulation of its blood supply. symptoms are acute scrotal pain and swelling, nausea, and vomiting. diagnosis is based on physical examination and confirmed by color doppler ultrasonography. treatment is immediate manual detorsion followed by surgical. Testicular torsion is a clinical diagnosis and the primary goal is surgical detorsion in the operating room. if testicular torsion is strongly suspected clinically, consult a urologist immediately for a bedside evaluation. manual detorsion can be attempted while awaiting more definitive surgical intervention.