Scorecard can rule out testicular torsion

The number of unnecessary surgeries performed to rule out testicular torsion could be halved by using a clinical scorecard, researchers say.

The four-item scoring system predicted testicular torsion in 45% of boys presenting to ED with an acute scrotum, including all 12 in whom the diagnosis was confirmed at surgery, a US study found.

Writing in BJU International, the researchers concluded it was safe to refrain from routine surgical