ASSESSMENT OF ACUTE SCROTAL SYMPTOMS AND FINDINGS - A CLINICIAN DILEMMA

Diagnosis of testis torsion relies on the clinical wisdom of the exami ning physician, supplemented with timely imaging techniques by color D oppler examination or scintigraphy. A knowledge of the pathophysiology of acute scrotal conditions can help to eliminate diagnostic errors b ut the literature demonstrates that errors can occur even with sophist icated testing. Data from the literature suggests that manual detorsio n of the testis can successfully relieve ischemia until surgical corre ction can eliminate the possibility of testis torsion. Surgical therap y has progressively improved and can save the germinal function of the testis.