Diagnosing Testicular Torsion before Urological Consultation and Imaging: Validation of the TWIST Score

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Sheth K. R., Keays M., Grimsby G. M., Granberg C. F., Menon V. S., DaJusta D. G., ...Daha Fazla

JOURNAL OF UROLOGY, cilt.195, sa.6, ss.1870-1876, 2016 (SCI-Expanded, Scopus)

• Yayın Türü: Makale / Tam Makale
• Cilt numarası: 195 Sayı: 6
• Basım Tarihi: 2016
• Doi Numarası: 10.1016/j.juro.2016.01.101
• Dergi Adı: JOURNAL OF UROLOGY
• Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
• Sayfa Sayıları: ss.1870-1876
• Anahtar Kelimeler: diagnosis, scrotum, spermatic cord torsion, ultrasonography, CREMASTERIC REFLEX, PEDIATRIC-PATIENTS, ACUTE SCROTUM, CHILDREN, ORCHIECTOMY, SONOGRAPHY
• Ankara Üniversitesi Adresli: Evet

Özet

Purpose: The TWIST (Testicular Workup for Ischemia and Suspected Torsion) score uses urological history and physical examination to assess risk of testis torsion. Parameters include testis swelling (2 points), hard testis (2), absent cremasteric reflex (1), nausea/vomiting (1) and high riding testis (1). While TWIST has been validated when scored by urologists, its diagnostic accuracy among nonurological providers is unknown. We assessed the usefulness of the TWIST score when determined by nonurological nonphysician providers, mirroring emergency room evaluation of acute scrotal pain.