A comparison of clinical outcomes of acute testicular torsion between prepubertal and postpubertal males

Goetz, Jessica E.; Roewe, R.; Doolittle, Johnathan; Röth, Elizabeth; Groth, Travis W.; Mesrobian, H.-G. O.; Rein, Lisa; Szabó, Anikó; Kryger, John V.

doi:10.1016/j.jpurol.2019.07.020

Cited by 17 publications

(28 citation statements)

References 7 publications

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“…(BAYNE et al, 2017). Cada hora de atraso no tratamento definitivo da torção testicular aumenta a inviabilidade testicular em 8,3%, havendo pior prognóstico em crianças menores (GOETZ et al, 2019;GOLD et al, 2019).…”

Section: Discussionunclassified

Avaliação De Profissionais Da Saúde Através Do QWLQ-Bref: Relato De Experiência

Christo¹,

Pintos²,

Milani³

et al. 2019

Prevenção E Promoção De Saúde 6

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Todo o conteúdo deste livro está licenciado sob uma Licença de Atribuição Creative Commons. Atribuição 4.0 Internacional (CC BY 4.0).O conteúdo dos artigos e seus dados em sua forma, correção e confiabilidade são de responsabilidade exclusiva dos autores. Permitido o download da obra e o compartilhamento desde que sejam atribuídos créditos aos autores, mas sem a possibilidade de alterá-la de nenhuma forma ou utilizá-la para fins comerciais.

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Section: Discussionunclassified

Avaliação De Profissionais Da Saúde Através Do QWLQ-Bref: Relato De Experiência

Christo¹,

Pintos²,

Milani³

et al. 2019

Prevenção E Promoção De Saúde 6

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“…The patients were divided into two groups: (1) prepubescent males (<13 years) and (2) postpubescent males (≥13 years). The age cutoff of 13 years was selected to correspond with the typical age of puberty onset based on existing data, as exemplified in Goetz and colleagues’ 2 study of the clinical outcomes of acute testicular torsion between prepubertal and postpubertal males which used the World Health Organization age cutoff. 15 The cutoff of 13 years was chosen as the average age of onset of puberty and to categorize patients into the prepubertal and postpubertal cohorts.…”

Section: Methodsmentioning

confidence: 99%

“…To our knowledge, only one previous study has analyzed the role of pediatric age on duration of symptoms, symptom presentation, and orchiectomy rate. 2…”

Section: Introductionmentioning

confidence: 99%

Differences in Clinical Characteristics Between Prepubescent and Postpubescent Males With Testicular Torsion

Shields

Daniels

Peppas

et al. 2022

Clin Pediatr (Phila)

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Testicular torsion represents a pediatric surgical emergency. In this 6-year study with 140 patients, prepubescent (<13 years) and postpubescent (≥13 years) males with testicular torsion were identified. Prepubescent boys had a longer symptom duration ( P = .016) and underwent more orchiectomies ( P = .005) compared with postpubescent boys. The risk of orchiectomy decreased by 15% per 1-year increase in age ( P = .002). Boys who underwent an orchiectomy had a longer symptom duration ( P < .001), were younger ( P = .002), had scrotal swelling ( P = .001), scrotal erythema ( P < .001), higher degrees of torsion ( P = .036), and more left-sided surgeries ( P = .014) compared with those who had an orchiopexy. Postpubescent boys were 63% less likely to receive an orchiectomy versus an orchiopexy compared with prepubescent boys. Pediatricians should be cognizant of the age discrepancies between prepubescent and postpubescent males with testicular torsion and educate parents about the importance of urgent evaluation in the Emergency Department to reduce the likelihood of an orchiectomy.

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“…However, the symptoms are often blurred or nonspecific 8 . In the literature, a study has been reported that compared the symptoms in prepubertal and postpubertal patients 9 . This analysis has shown that the symptomatology in prepubertal patients tends to be scarcer and more nuanced 9 .…”

Section: Introductionmentioning

confidence: 99%

“…9 This analysis has shown that the symptomatology in prepubertal patients tends to be scarcer and more nuanced. 9 This would cause a diagnostic and treatment delay. For this reason, a careful but rapid differential diagnosis is mandatory.…”

Section: Introductionmentioning

confidence: 99%