[Testicular torsion before 6 hours. I].

OBJECTIVE

To analyze the characteristics of testicular torsion within the first 6 hours, and to emphasize the need for early diagnosis and treatment.

METHODS

The records of 33 patients treated for testicular torsion within the first 6 hours were reviewed. We evaluated the reason for consultation, previous patient history, clinical features, urinalysis findings, diagnostic methods and surgical findings.

RESULTS

The most common reason for consultation was scrotal pain. Twelve patients had a previous history of ascending testis. Urinalysis was normal in 25 patients. Diagnosis was based on the clinical findings. Thirty-two testes were preserved.

CONCLUSIONS

Diagnosis of testicular torsion within the first 6 hours are usually based on the clinical findings. Early treatment can achieve testicular viability.