Testicular torsion refers to the torsion of the spermatic cord structures and subsequent loss of the blood supply to the ipsilateral testicle.
This is a urological emergency; early diagnosis and treatment are vital to saving the testicle and preserving future fertility. Treatment: Immediate surgical exploration is indicated for patients with testicular torsion.
For reliable salvage of the testicle, surgical repair must occur within six hours of symptom onset. If treatment is delayed, the patient may experience decreased fertility or may require orchiectomy. Some major research work is going about this in Netherlands.