Optimizing Management of Testicular Torsion at Bronglais General Hospital: Assessing the Testicular Workup for Ischemia and Suspected Torsion (TWIST) Score and Ultrasound for Effective Time Intervention

To improve surgical outcomes for scrotal pain exploration and reduce delays in intervention, it is important to address existing documentation gaps and the inconsistent use of diagnostic tools such as the TWIST score and ultrasound, even though TT is generally managed in a timely manner at BGH. However, a local protocol has been developed that includes direct referral to the on-call surgical registrar to further decrease time to theatre. It also includes the TWIST score to guide diagnosis. Raising awareness of children and their carers/parents is of paramount importance. A proposed pathway for the management of patients with scrotal pain and suspected of TT at BGH was developed and will be followed up on in future practice.