OBJECTIVE: To analyze the characteristics of testicular torsion within the first 6 hours, and to emphasize the need for early diagnosis and treatment. METHODS: The records of 33 patients treated for testicular torsion within the first 6 hours were reviewed. We evaluated the reason for consultation, previous patient history, clinical features, urinalysis findings, diagnostic methods and surgical findings. RESULTS: The most common reason for consultation was scrotal pain. Twelve patients had a previous history of ascending testis. Urinalysis was normal in 25 patients. Diagnosis was based on the clinical findings. Thirty-two testes were preserved. CONCLUSIONS: Diagnosis of testicular torsion within the first 6 hours are usually based on the clinical findings. Early treatment can achieve testicular viability.
OBJECTIVE: To analyze the characteristics of testicular torsion within the first 6 hours, and to emphasize the need for early diagnosis and treatment. METHODS: The records of 33 patients treated for testicular torsion within the first 6 hours were reviewed. We evaluated the reason for consultation, previous patient history, clinical features, urinalysis findings, diagnostic methods and surgical findings. RESULTS: The most common reason for consultation was scrotal pain. Twelve patients had a previous history of ascending testis. Urinalysis was normal in 25 patients. Diagnosis was based on the clinical findings. Thirty-two testes were preserved. CONCLUSIONS: Diagnosis of testicular torsion within the first 6 hours are usually based on the clinical findings. Early treatment can achieve testicular viability.