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Testicular torsion is an easy diagnosis and yet a has a difficult and challenging outcome. The management is time sensitive and most frequently encountered in the casualty. A through history and examination along with a testicular doppler and ultrasound are vital for a diagnosis and to avoid complications. Complications may include testicular infarction, necrosis, and sub/infertility. Managing these complications are quite challenging for the doctor, patient and the attenders. This article therefore focusses on the management of testicular torsion and its complications and on how we dealt with our patients and helped them in overcoming the challenges.