RT Journal Article
SR Electronic
T1 Testicular torsion in children
JF Canadian Family Physician
JO Can Fam Physician
FD The College of Family Physicians of Canada
SP 669
OP 671
DO 10.46747/cfp.6709669
VO 67
IS 9
A1 Maheshver Shunmugam
A1 Ran D. Goldman
YR 2021
UL http://www.cfp.ca/content/67/9/669.abstract
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.