Performance of the TWIST score in the diagnosis of testicular torsion in an Australian Emergency Department

Not Applicable

• Conditions: Testicular Torsion; Acute scrotal pain; Surgery - Other surgery; Renal and Urogenital - Other renal and urogenital disorders

• Registration Number: ACTRN12622000343707
• Lead Sponsor: Alexander Wilson

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2022-02-24
• Last Update Posted: 5 September 2022

Recruitment & Eligibility

• Status: ot yet recruiting
• Sex: Male
• Target Recruitment: 330

Inclusion Criteria

Scrotal and/or testicular pain or scrotal swelling
Duration of pain < 7 days

Exclusion Criteria

Previous testicular torsion
previous scrotal surgery or testicular disease
Intellectual impairment or behavioural issues that will not allow an accurate assessment of patient and hence collection of data
Age < 3 months or > 18 years
Ultrasound confirmed diagnosis of testicular torsion prior to presentation

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Performance accuracy (sensitivity, specificity, negative predictive value, positive predictive value) of the TWIST score in identifying and diagnosing testicular torsion compared with current practice of clinical acumen alone. Final diagnosis will be base on surgical diagnosis or diagnosis at discharge if they did not go to theatre, (provided they did not represent with subsequent more accurate diagnosis ie missed torsion)<br>[At clinical assessment/diagnosis ]