What imaging studies, if any, are recommended for confirming the diagnosis of testicular torsion in a primary care setting?

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Posted: 16 August 2025Updated: 16 August 2025 Guideline-Aligned (High Confidence) Clinically Reviewed
Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

In a primary care setting, no imaging studies are recommended for confirming the diagnosis of testicular torsion . If testicular torsion is clinically suspected, the recommended action is to arrange emergency hospital admission to urology or paediatric surgery . This is because testicular torsion is considered a urological emergency requiring immediate surgical exploration . Surgical repair should ideally be performed within 4 hours to salvage the testicle .

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