Manual derotation of the twisted spermatic cord

Objective To re-emphasize the safety and efficacy of manual derotation in t he management of the twisted spermatic cord. Patients and methods Seventeen patients (mean age 15 pears. range 13-28) wi th acute unilateral torsion of the spermatic cord. initially treated by man ual detorsion. were reviewed, all 17 patients were seen by one consulting u rologist (H.F.M.K.). Results In 14 of the 17 patients the attempt resulted in successful manual derotation, i.e. the immediate relief of all symptoms and normal findings a t physical examination. No testicular atrophy was detected during the follo w-up (mean 22 months. range 9-72). Conclusions These results reinforce the efficacy and safety of manual derot ation with subsequent elective bilateral orchidopexy as the primary treatme nt for the twisted spermatic cord.