The Role of Manual Detorsion in Pediatric Testicular Torsion During the Global COVID-19 Pandemic: Experience From 2 Centres

Successful manual detorsion of testicular torsion in an elderly patient: A case report

“…For instance, one study investigating the effectiveness of manual detorsion showed that out of 72 attempted detorsions, 58 attempts yielded a safe successful treatment [ 8 ]. This result was furthermore supported by another study that had similar positive results, with 20 successful manual detorsions out of a total of 26 patients [ 9 ].…”

Manual detorsion in pediatric testicular torsion: A narrative review of the literature

“…In 64 children who did not undergo manual detorsion, there was gonadal loss in 28 patients (44%; orchiectomy, 18; atrophy, 10). Russo et al 2 report a success rate of 81% on 72 attempts at manual detorsion by pediatric surgeons, with a mean presentation time of 11.8 h. Their multivariable analysis showed successful manual detorsion to be associated with a presentation delay less than 6 h, absence of reactive hydrocele and absence of scrotal edema.…”

“…However, the viability of the testis is reduced by 50% after 12 h of torsion. 2 Moreover, in most US malpractice cases, the emergency physician pays the majority of the judgment even if the diagnosis of torsion was missed by radiology. 27 It stands to reason that a bad outcome due to delay in operative care after diagnosis puts the emergency physician in similar medicolegal jeopardy.…”

Testicular torsion, a time challenging urological emergency: A literature review

“…When there was no edema and the patient's presentation was delayed by fewer than six hours, manual detorsion offered safe and effective emergency management for juvenile testicular torsion. This method should be made available to many people as quickly as feasible after being identified as a temporary rescue (20).…”