Aim: analyze the outcome of surgery for testicular torsion in children at the National hospital of Pediatrics. Results: The percentage of conservative surgery in testicular torsion was very high (73.8 percent), orchidectomy was done in only 26.2 percent of cases. The average length of treatment was 2,93 +/- 1,302 days, the majority of cases had 2-3 days of hospital stay (80,3 percent). The complication rate was low (3,2 percent). Average post-operative following-up time was 3,43 +/- 1,69 months, with no recorded case of post-operative scrotal pain. Conservation of necrotic/atrophic testis was done in 4/33 cases (12.12 percent). The longer the delay in seeking consultatton, the higher the rate of testicular necrosis. No case of testicular necrosis was record in the early diagnosed group of patients (less than 6 hours). For those patients diagnosed within 7 to 24 hours, 23.5 percent had a creased in size testis. Conservation of testis was not possible in 100 percent of patients that diagnosed later than 24 hours. Conclusion: Time of diagnosis is a decisive factor for conservative surgery. Testis was conserved mostly in patients came in not later than 6 hours. Early consultation and good timing of surgery will increase the chance of conserving testis and lower the incidence of testicular atrophy after detorsion.
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