Manual detorsion by ED physicians cut testicular ischemia time by 105 minutes

A retrospective chart review at a tertiary pediatric trauma center (2013-2025) examined 256 patients aged 8-21 diagnosed with testicular torsion. Manual detorsion was attempted in 141 patients (55%) by pediatric emergency medicine physicians and succeeded in 65% of attempts, with mean time to restored blood flow 105.1 minutes shorter than in patients managed with surgical detorsion alone; salvage rates did not differ significantly between groups, per the study authors.

Most relevant for: Pediatric patients aged 8-21 presenting to the emergency department with suspected testicular torsion.

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