Testiculat torsion (TT) is an emergency condition that is accompanied by partial or complete chorda spermatica vessels compression resulting in testicular infraction. TT main symptoms are sharp pain, scrotal hyperemia, generalized edema, nausea, vomiting and unconsciousness. However, these symptoms are characteristic of many other acute diseases of genital gland. In course of time the symptoms are less defined, which in its turn raises the issue of timely differential diagnostics. Purpose – to optimize and generalize about modern literature data on testicular torsion in children diagnostics, treatment and rehabilitation. Medical history taking, considering clinical data and checking the symptoms typical for PP during diagnostic process is crucial. It is important to use instrumental diagnostic methods, with echographic and scyntigraphic ones to be the main ones. After having confirmed PP diagnosis, treatment has to be started immediately. There are two methods of testicular detorsion, i.e. manual bloodless detorsion and invasive detorsion with further orchiopexy. Post-surgical phase is significant for preserving the patient’s fertility in the future. Post-TT rehabilitation includes medication, physiotherapeutic procedures, genital gland fixing from contralateral side, and, in case of testicle loss through non-timely treatment, testicle endoprosthesing. Testicular torsion is a complicated and understudied issue. Critical ischemia sets on in 12–16 hours from the onset of disease. As of today, the issue of diagnostics, treatment and rehabilitation of patients with acute testicular torsion has not been studied completely and requires further study. No conflict of interest was declared by the authors. Key words: testicular torsion, differential diagnosis, orchiopexy, endoprosthesis.