Torsion of the spermatic cord

The clinical features and pathology of four cases of torsion of the spermatic cord treated at Holberton Hospital between December 1987 and January 1988 were reviewed. The lack of prompt clinical diagnosis delayed therapy in all cases, resulting in orchidectomy. The findings re-emphasize the need for early diagnosis and surgical exploration of equivocal cases of acute unilateral scrotal pain if salvage rates are to be improved.