[Torsion of the spermatic cord. Current controversies]

The diagnosis of torsion of the spermatic pedicle is primarily clinical, despite the many studies concerning the value of complementary investigations. Currently available imaging modalities are limited either by their lack of sensitivity or by their lack of availability. The absence of well established evidence of direct impairment of contralateral testicular exocrine function is in favour of conservative treatment whenever the local conditions are suitable.