Results of using the TWIST scale in patients with acute diseases of the scrotum organs in the regions of Russia

Introduction. Testicular torsion (TT) is the most common emergency urologic pathology of children. Detorsion within 4-8 hours is crucial to prevent irreversible changes in testicular tissue. Ultrasound investigation plays a major role in the diagnosis of testicular torsion, but its performance is prolonging the diagnostic period and, consequently, the time of testicular ischemia. For selection of patients who really need ultrasound examination among all patients with acute diseases of the scrotum organs (ADSO), the TWIST (Testicular Workup for Ischemia and Suspected Torsion) diagnostic scale was proposed. The results of its application in the conditions of emergency care of boys in several surgical centers of Russia formed the basis of our study.