Testicular torsion between 6 and 12 hours. II

OBJECTIVE: To analyze the characteristics of testicular torsion between 6-12 hours. METHODS: The records of 47 patients treated for testicular torsion within 6-12 hours were reviewed. We evaluated the reason for consultation, previous patient history, clinical features, urinalysis findings, diagnostic methods and surgical findings. RESULTS: The reason for consultation was scrotal pain in 42 patients; 17% of the patients had a previous history of ascending testis. Orchidectomy was required in 17% of the patients. CONCLUSIONS: The need for performing orchidectomy is higher in cases with testicular torsion diagnosed between 6-12 hours. The results of urinalysis are generally normal. The clinical findings and the diagnostic techniques are useful in making early diagnosis and instituting early treatment.