Testicular Torsion in the Right Testicle

Recognizing acute testicular torsion in patients is important because a delay in treatment may upgrade the patient from a detorsion procedure to an orchiectomy. If the torsion is found within 4 hours, the testicle is usually salvageable. If more than 24 hours pass, the testicle will need to be removed.
- Early findings of torsion include: absent or decreased flow, enlargement, and heterogenous appearance in the affected testicle.
- Late findings include atrophy, reactive hydroceles, and peritesticular inflammation / increased flow.


Reference:
Primer of DI, "Testicular Torsion", 2011:5th ed, pg 241