Testicular torsion is a urological and andrological emergency characterized by twisting of the spermatic cord, resulting in acute ischemia. It most commonly affects adolescents and young adults but can occur at any age.
Clinical presentation includes sudden onset scrotal pain, swelling, nausea, and vomiting. Delayed treatment beyond six hours significantly increases the risk of irreversible testicular damage. Diagnosis is primarily clinical, supported by Doppler ultrasonography when time permits.
From an andrological standpoint, testicular torsion has implications beyond acute pain management. Loss of one erotic testis may compromise fertility and endocrine balance, emphasizing the importance of patient education and rapid medical response.
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