Acute scrotal pain or swelling was an existing Victorian CPG that has been revised then reviewed by CPG Committee members. It will be considered for PIC endorsement on 27 August.

Key Points

1. Testicular torsion is an emergency. It requires immediate referral to a surgeon
2. Surgical evaluation should be undertaken in all cases where testicular torsion cannot be confidently excluded
3. Ultrasound should only be considered in selected cases, after surgical assessment