INTRODUCTION
compartment syndrome, swelling, testis, necrotic, pain, torsion
VAGINALIS, COMPARTMENT SYNDROME, TESTICULAR TORSION, COMPARTMENT SYNDROMES, TESTICULAR TORSION, NECROTIC, TORSION, OXIDATIVE STRESS
Testicular torsion is an emergency situation, and the time to treatment affects the testicular salvage rate in the first 24 hours after pain onset. It occurs in one in every 4,000 men within 25 years.Compartment syndromes associated with testicular torsion have been debated over the past few decades. Its exact mechanism of action remains unclear. However, torsion causes an abrupt reduction of the venous blood efflux from the testis leading to intratesticular swelling and damage to the parenchyma and micro-circulation.Regarding oxidative stress, leucocytes contribute to the production of reactive oxygen species (ROS).During surgical exploration, the testis is considered unsalvable if the ischemic or necrotic aspects do not improve after detorsion and heating. In these cases, orchiectomy and contralateral orchiopexy are the standard treatments.To validate the tunica vaginalis flap (TVF) technique in humans and prove compartment syndrome in testicular torsion, Kutikov et al. reported the TVF.