PT  - JOURNAL ARTICLE
AU  - Shunmugam, Maheshver
AU  - Goldman, Ran D.
TI  - Testicular torsion in children
AID  - 10.46747/cfp.6709669
DP  - 2021 Sep 01
TA  - Canadian Family Physician
PG  - 669--671
VI  - 67
IP  - 9
4099  - http://www.cfp.ca/content/67/9/669.short
4100  - http://www.cfp.ca/content/67/9/669.full
SO  - Can Fam Physician2021 Sep 01; 67
AB  - Question 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.