Testicular Workup for Ischemia and Suspected Torsion (TWIST) diagnoses testicular torsion, decreasing indication for ultrasound.

Jun 4, 2024 · The Testicular Workup for Ischemia and Suspected Torsion (TWIST) score is a clinical decision tool used for the workup and management of acute scrotal emergencies where testicular torsion is suspected. It uses history and examination to estimate the likelihood of torsion.

Feb 22, 2023 · TWIST score can be used to predict testicular torsion at cut-off of 5 with a sensitivity, specificity, PPV, NPV, and accuracy of 0.71 (0.66, 0.75; 95%CI), 0.97 (0.97, 0.98; 95%CI), 90.2%, 91.0%, and 90.9% respectively.

TWIST Score Symptom Points Testicular swelling 2 Hard testicle 2 Absent cremasteric reflex 1 Nausea/vomiting 1 High riding testis 1 If Dx is in question, U/S to determine presence or absence of blood flow: §Decreased testicular perfusion §Twisting of spermatic cord ≤2Points: lowrisk 3-4Points: mediumrisk ≥5 Points: HIGHrisk Detorsion ...

Sep 17, 2021 · Testicular Workup for Ischemic and Suspected Torsion (TWIST) Score was developed by Urologist, validated with non-physician triage, and recently tested in tertiary Pediatric ED with physician providers utilizing it.

The TWIST Score is valid for the diagnosis of Testicular Torsion in adults, presenting a PPV of 90% for a cutoff of 5 points and 100% for six points. In all patients with a score of 2 or less, the disease could be safely excluded (100% NPV).

Jul 1, 2022 · TWIST is an effective tool for suspected testicular torsion and is appropriate for widespread adoption. The Barbosa scoring system is reliable and reduces reliance on scrotal ultrasound.

Purpose: The Testicular Workup for Ischemia and Suspected Torsion (TWIST) score is a 7-point tool to evaluate acute scrotal pain. Parameters include testic-ular swelling (2 points), hard testis (2), high-riding testis (1), absent cremasteric reflex (1) and nausea/vomiting (1).

The Testicular Workup for Ischemia and Suspected Torsion (TWIST) score is a clinical decision tool derived to help emergency providers assess pediatric males presenting with an acute scrotum.

It is concluded that based on the currently available evidence, a low-risk TWIST score has a high sensitivity and can be used in line with clinical judgement to rule out testicular torsion.