Legal implications
Law suits are quite common when it comes to the testes. No one is happy to lose their testes. Any evidence of a missed or delayed diagnosis is a sure bet that a law suit may result. There may be a risk of litigation even if the patient has delayed seeking medical attention. Any time there is a poor outcome, the probability of a lawsuit is real.
Summary
The most significant and feared complication of testicular torsion is loss of the testis, which may lead to permanent infertility. Common causes of testicular loss after torsion are a delay in seeking medical attention, incorrect initial diagnosis and delay in treatment of the condition.
Testicular torsion is one of the few emergencies in urologic practice. Any delay in the diagnosis by more than 4-8 hours severely reduces the chances of salvaging the testes. Some surgeons claim that there is a direct correlation between the duration of torsion and abnormal semen findings.
Some authorities even suggest that retention of an injured testis can induce pathologic changes to the contralateral testis. This creates a major dilemma when evaluating patients who present to the surgeon late. Removing one testis is fine; removing two testes is a nightmare-for both the surgeon and the patient.
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