In addition to today’s resource, please see and review:
- Manual Detorsion of the Testes from emedicine.medscape.com
Updated: Feb 05, 2021
Author: Amulya K Saxena, MD, PhD, DSc, FRCS(Glasg)
- “Extravaginal testicular torsion that occurs in newborns cannot be treated by manual detorsion. The incidence of perinatal testicular torsion is 6.1 in 100,000 live births. ”
- “Testicular torsion is commonly observed in males younger than 30 years, with a peak at 12-18 years. The incidence of torsion in males younger than 25 years is approximately 1 in 4000.  Torsion more often involves the left testicle. The etiologic factors involved in intravaginal testicular torsion include congenital anomaly, bell clapper deformity, undescended testicle, sexual arousal or activity, exercise, active cremasteric reflex, and cold weather.”
Here is the link to Dr. Mellick’s outstanding YouTube video on the ED treatment of testicular torsion, We Saved His Dying Testicle in 10 Seconds, Mar 3, 2022.
Dr. Mellick writes:
In this video we demonstrate and discuss the importance of attempting manual detorsion of testicular torsions. Our hope is that this video encourages healthcare providers around the world to be more confident in their abilities and to understand the importance of quickly reducing testicular torsions before transferring for definitive care.