Ultrasound for suspected Testicular Torsion
Policy Updated: October 2023
Please Note: This is not intended as a clinical guideline for management of suspected Testicular Torsion in Primary Care
Background:
Requests have been received for POAC to fund scrotal ultrasound investigation for the purpose of excluding testicular torsion. Diagnosis should usually be made based on clinical presentation; diagnosis and treatment should not be delayed. See relevant pathways:
Scrotal Lumps in Adults
Scrotal Pain and Swelling in Children
Epididymo-orchitis
POAC Policy:
POAC WILL NOT fund an ultrasound for the purpose of excluding testicular torsion unless discussed with a hospital Urologist and an appointment can be arranged the same day. Include the name of the recommending clinician with the clinical notes provided to POAC
Rationale:
Testicular torsion requires urgent review in the hospital. Awaiting an ultrasound will cause a delay in specialist assessment.