Abstract
Objective: To review recent previous studies that deal with diagnostic and therapeutic approach in situations of testicular torsion, the main cause of acute scrotum, and to expose the most frequent complications of a late surgical intervention. Bibliographic review: The initial evaluation of patients with sudden scrotal pain, accompanied of nausea and vomiting, should consider male gonad twist as the main diagnosis. For clinical diagnosis, there are classic signs and symptoms of torsion that helps to identify the condition. In addition, the use of Doppler ultrasonography is a very sensitive and specific diagnostic method that, however, is not an essential prerequisite for the surgical approach, since it can delay the correction of the pathology. This delay, therefore, can lead to loss of the testis and, in some cases, lead to infertility. Final considerations: Given the relevance of the consequences that late diagnosis can have for male health, is the duty of the active professional, even if not specialized in urology, to demonstrate correct conduct in cases of testicular torsion, if suggestive clinical picture, and to assertively indicate early surgery.