Testicular Torsion

Please Note: This is not intended as a clinical guideline for management of suspected Testicular Torsion in Primary Care

Background:

Requests have been received for POAC to fund scrotal ultrasound investigation for the purpose of excluding testicular torsion.  Diagnosis should usually be made based on clinical presentation; diagnosis and treatment should not be delayed. See relevant pathways:

• Scrotal Lumps in Adults

• Scrotal Pain and Swelling in Children

• Epididymo-orchitis

POAC Policy:

POAC WILL NOT fund an ultrasound for the purpose of excluding testicular torsion unless discussed with a hospital Urologist and an appointment can be arranged the same day. Include the name of the recommending clinician with the clinical notes provided to POAC

Rationale:

Testicular torsion requires urgent review in the hospital. Awaiting an ultrasound will cause a delay in specialist assessment.