Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2025 Apr;55(4):674-681.
doi: 10.1007/s00247-024-06008-1. Epub 2024 Aug 8.

Testicular torsion and ultrasound-assisted manual detorsion

Jose L Vazquez  1 , Mauricio J Fernandez  2 , Alba Comendador-Morales  2 , Marcos Prada-Arias  3
Affiliations
Review

Testicular torsion and ultrasound-assisted manual detorsion

Jose L Vazquez et al. Pediatr Radiol. 2025 Apr.

Abstract

Testicular torsion is a medical emergency that requires an immediate and multidisciplinary approach from emergency, surgical, and radiological services. In this article, we discuss the current knowledge and growing value of ultrasound (US) for intravaginal testicular torsion diagnosis and our experience with manual testicular detorsion with US assistance. Testicular torsion requires prompt and accurate diagnosis and quick therapeutic action. Technological advances in US equipment and knowledge of this pathology place the radiologist in an excellent position for its diagnosis and management. During the same medical procedure, the radiologist can both confirm the intravaginal testicular torsion and attempt manual testicular detorsion. US-assisted manual testicular detorsion is a non-invasive, simple, quick, safe, and effective manoeuvre that can rapidly restore testicular blood flow, maximising testicular salvage, relieving the patient's symptoms, and facilitating surgery.

Keywords: Humans; Male; Radiologist; Spermatic cord torsion; Testis.

PubMed Disclaimer

Conflict of interest statement

Declarations. Conflicts of interest: None

References

    1. Alkhori NA, Barth RA (2017) Pediatric scrotal ultrasound: review and update. Pediatr Radiol 47(9):1125–1133. https://doi.org/10.1007/s00247-017-3923-9 - DOI - PubMed
    1. Bandarkar AN, Blask AR (2018) Testicular torsion with preserved flow: key sonographic features and value-added approach to diagnosis. Pediatr Radiol 48(5):735–744. https://doi.org/10.1007/s00247-018-4093-0 - DOI - PubMed
    1. Bowlin PR, Gatti JM, Murphy JP (2017) Pediatric testicular torsion. Surg Clin North Am 97(1):161–172. https://doi.org/10.1016/j.suc.2016.08.012 - DOI - PubMed
    1. Cattolica EV (1985) Preoperative manual detorsion of the torsed spermatic cord. J Urol 133(5):803–805 - DOI - PubMed
    1. Cornel EB, Karthaus HF (1999) Manual derotation of the twisted spermatic cord. BJU Int 83(6):672–674 - DOI - PubMed

LinkOut - more resources