How is the management of spermatic cord torsion suspicion?

Manual detorsion may not totally correct the rotation that has occurred, and prompt exploration usually is still indicated. Usually done by untwisting the testis in the direction of the thigh ( outward ). Color Doppler and radionuclide imaging are very accurate and used only to rule out other pathologies When the diagnosis of   torsion of the cord is suspected, prompt surgical exploration is warranted. Intermittent Torsion of the Spermatic Cord Present as intermittent acute testicular pain that resolves by itself scrotal fixation of both testes should be performed when bell-clapper deformities are found