title: Conservative management of twisted testicular appendages.
abstract: We planned non-operative treatment of a twisted intrascrotal appendage in 23 consecutive patients, ranging in age from 6 to 45 years, in whom the diagnosis could be made confidently. Only 3 patients have required subsequent removal of the infarcted appendage because of persistent or recurrent pain. The remaining patients became free of pain within a week. Prompt surgical exploration to exclude torsion of the spermatic cord remains necessary if scrotal swelling obscures the diagnosis. At operation for the latter indication 5 additional boys were found to have a twisted appendix testis during the study interval.
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D004822:Epididymis; D006801:Humans; D008297:Male; D008875:Middle Aged; D013733:Testicular Diseases / Q000601:surgery / Q000628:therapy*