NCEPOD’s new report into the pathway and quality of care for testicular torsion


Twist and shout torsion

We welcome the release of the NCEPOD’s new report into the pathway and quality of care for testicular torsion. We’re pleased that the report directs to some of The Urology Foundation’s work and resources.

Testicular torsion is an emergency condition that can threaten the life of the organ. It is most common in newborns and boys aged 12 – 18 years (65% of all torsions occur during puberty) but it can occur in men of any age. Testicular torsion affects 1 in 800 men, and every year it affects 1 in 4000 men under the age of 25. The main symptom is sudden severe pain in the testicle. There are only four to eight hours to save a testicle from when it twists – the sooner they come to hospital the better chance you have of saving it. Given how time critical this condition is, it is so important that people recognise the signs and can act fast if they experience symptoms.

The report highlights clear recommendations that would improve outcomes. These include:

  • Increase public awareness
  • Appropriate care pathways that minimise the need for transfers
  • Urgent senior review and action taken
  • Extended follow up

Currently, too many school age boys are losing their testes unnecessarily. We welcome these recommendations.

At The Urology Foundation, we recognise the importance of testicular health. We fund a number of studies to improve knowledge and clinical practice. In testicular torsion we funded a project grant in 2020 for a ‘Save the Ball’ campaign as well as a feasibility diagnostic test accuracy study in 2021 into the detection of torsion by registrars in training (DETORT).

For more information on testicular torsion, click here.

To see the full report, visit: