RT Book, Section A1 Reichman, Eric F. SR Print(0) ID 57716382 T1 Chapter 151. Manual Testicular Detorsion T2 Emergency Medicine Procedures, 2e YR 2013 FD 2013 PB The McGraw-Hill Companies PP New York, NY SN 978-0-07-161352-1 LK accessemergencymedicine.mhmedical.com/content.aspx?aid=57716382 RD 2024/04/20 AB First described in the English literature by Rigby and Howard in 1907, testicular torsion occurs when the testicle turns around its axis, forcing its blood supply to twist, thereby causing vascular compromise of the testicle (Figure 151-1).1 Testicular torsion is a time-sensitive emergency that demands the Emergency Physician to act swiftly to preserve the testicle. Testicular torsion is a clinical diagnosis and the primary goal is surgical detorsion in the operating room. If testicular torsion is strongly suspected clinically, consult a Urologist immediately for a bedside evaluation. Manual detorsion can be attempted while awaiting more definitive surgical intervention.