Summary

 

• Time is testicle. In cases of testicular torsion, outcomes are improved with detorsion in less than 6 hours from symptom onset
• PoCUS may be used as an adjunct to clinical decision making alongside the TWIST score when the suspicion for TT is intermediate.
• PoCUS should be utilized as a rule-in test for testicular torsion but should never delay surgical consultation or formal ultrasound when clinical suspicion of torsion is high
• The most specific signs for testicular torsion are absent/decreased testicle vascularity and whirlpool sign.