title: Manual derotation of the twisted spermatic cord.
abstract: OBJECTIVE
  To re-emphasize the safety and efficacy of manual derotation in the management of the twisted spermatic cord.
  
  
  METHODS
  Seventeen patients (mean age 15 years, range 13-28) with acute unilateral torsion of the spermatic cord, initially treated by manual detorsion, were reviewed; all 17 patients were seen by one consulting urologist (H.F.M.K.).
  
  
  RESULTS
  In 14 of the 17 patients the attempt resulted in successful manual derotation, i. e. the immediate relief of all symptoms and normal findings at physical examination. No testicular atrophy was detected during the follow-up (mean 22 months, range 9-72).
  
  
  CONCLUSIONS
  These results reinforce the efficacy and safety of manual derotation with subsequent elective bilateral orchidopexy as the primary treatment for the twisted spermatic cord.
authors.affiliation: Department of Urology, Canisius Wilhelmina Hospital, Nijmegen, The Netherlands.
authors.forename: E B
authors.initials: EB
authors.lastname: Cornel
authors.forename: H F
authors.initials: HF
authors.lastname: Karthaus
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D026741:Physical Therapy Modalities / Q000379:methods*; D013086:Spermatic Cord Torsion / Q000628:therapy*; D016896:Treatment Outcome