emDOCs / EM@3AM - April 8, 2023 - By Rachel Bridwell
Reviewed by: Sophia Görgens; Cassandra Mackey; Brit Long
Pearls:
- Emergent urology consultation for definitive surgical management
- Testicular salvage time ideally as soon as possible though not limited to 6-8 hours, with successful testicular salvage up to 24 hours, especially with intermittent torsion
- Torsion cannot be ruled out by a present cremasteric reflex
- TWIST is a clinical decision tool though clinical gestalt supersedes this tool