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Testicular Torsion: A 15-Year Single Center Clinical and Histological Analysis.
MedLine Citation:
PMID:  22385478     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Aim:  This study reviewed the demographic, epidemiological and clinical factors of boys seen at a single center who underwent surgical explored for testicular torsion. Methods:  Retrospective single center review of boys with testicular torsion between 1996-2011 was performed. Results:  Testicular torsion (right n=43, left n=60, bilateral n=1) was identified in 104 boys between 0-18years. Ten newborns presented with 11 intrauterine torsions. Nine torsions presented in undescended inguinal testes (1 intrauterine). In 94 boys with descended testes, presentation included pain (76%), scrotal swelling (65%) and abdominal symptoms (22%). Ultrasonography was performed in 85 patients with false negative results in 4 (4.7%). Orchiectomy was performed during initial exploration in 41, with significantly higher rates of orchiectomies in patients with late (> 6 hrs) versus early referrals (<6 hrs) (56% vs. 9.1%). Histological evaluation was done in 68 testes, with 43 resected testes demonstrating hemorrhagic necrosis. In 25 biopsied testes, histology revealed acute parenchymal bleeding (n=14), onset of parenchymal infarction (n=8), orchitis (n=1) and normal tissue (n=2). Eighty-two patients were followed-up with pathological findings in 4 patients: testicular atrophies requiring orchiectomy (n=2), testicular autolysis (n=1) and small testicular vein thrombosis (n=1). Conclusion:  Chances of testicular salvage after torsion are higher if patients present early. The majority of patients presenting late (>6h) require orchiectomy due to testicular necrosis. © 2012 The Author(s)/Acta P&aelig;diatrica © 2012 Foundation Acta P&aelig;diatrica.
Authors:
A K Saxena; C Castellani; E M Ruttenstock; M E Höllwarth
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-3-3
Journal Detail:
Title:  Acta paediatrica (Oslo, Norway : 1992)     Volume:  -     ISSN:  1651-2227     ISO Abbreviation:  -     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2012-3-5     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9205968     Medline TA:  Acta Paediatr     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 The Author(s)/Acta P&aelig;diatrica © 2012 Foundation Acta P&aelig;diatrica.
Affiliation:
Department of Pediatric- and Adolescent Surgery, Medical University of Graz, Austria.
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