Objectives. io evaluate the effectiveness of percutaneous endoscopy of
the tunica vaginalis for identifying testicular torsion in a rodent m
odel. Methods, One testis was randomly selected in 10 Wistar rats weig
hing 500 to 600 g. Following 2 hours of 720 degrees torsion, bilateral
percutaneous endoscopy of the tunic vaginalis was performed by a blin
ded investigator utilizing a 70 degrees cystoscope lens through a sing
le midline 3 to 4 mm scrotal cutdown incision. Results. Using this tec
hnique, the blinded investigator was able to identify the torsed testi
s rapidly in every case, which was distinguished by its cyanotic color
and by the size and color of the testicular surface vessels. Conclusi
ons. Tunica vaginoscopy is a simple, accurate, rapidly performed, mini
mally invasive, diagnostic technique in this experimental model of tes
ticular torsion.