A Minimally Invasive Method in Diagnosing Testicular Torsion: The Initial Experience of Scrotoscope

Ye, Huamao; Li, Yong; Wang, Haifeng; Chang, Yifan; Gao, Xu; Xu, Chuanliang; Hou, Jian; Sun, Yinghao

doi:10.1089/end.2015.0724

Cited by 9 publications

(10 citation statements)

References 14 publications

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“…Conversely, scrotoscopy seems to have a diagnostic value beyond ultrasound. The diagnosis of TT by scrotoscopy has earlier been reported in China [ 20 ] ; their conclusion agrees with those of this study, both reporting 100% sensitivity and specificity of scrotoscopy for diagnosing TT. The difference between these 2 reports was that in the case of this study, we tried to grade the status of TT for the first time using a scrotoscope, and then performed a chi-square test to find the differences and consistency between scrotoscope grading and ultrasound/BSG during OS after testicular detorsion.…”

Section: Discussionsupporting

confidence: 92%

Scrotoscopy and traditional open surgery shows a high degree of consistency in the diagnosis of testicular torsion

Hong

Cai

et al. 2020

Medicine

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Traditional open surgery (OS) is usually necessary when testicular torsion (TT) cannot be excluded by scrotal ultrasound. Scrotoscopy has been used as a minimally invasive technique to diagnose or treat scrotal diseases, and it may also play a role in diagnosing TT. A retrospective analysis was performed for patients with TT to evaluate the consistency of scrotoscopy and OS in the diagnosis of TT. In the cases where preoperational Color Doppler ultrasonography was performed, scrotoscopy, open surgery, and confirmed TT were included for future analysis. A total of 43 patients were studied. Twisted testes were retained in 11 cases (25.59%), and the remaining 32 patients (74.41%) underwent orchiectomy. There were significant differences in the diagnostic value between the grading of scrotoscopy and ultrasound, as well as between ultrasound grading and blood supply grading (BSG) (both P < .05). However, no significant difference was observed between the grading of scrotoscopy and BSG in traditional OS ( P > .05), but a high degree of consistency existed between scrotoscopy grading and BSG in traditional OS (Kappa = 0.733, P ≤ .001). Our limited data indicate that the diagnosis of testicular torsion by scrotoscopy is highly consistent with that of traditional surgical exploration. Therefore, further studies are necessary to confirm its application value in the future. Scrotoscopy may have potential application value for the patients whom testicular torsion are insufficiently diagnosed but cannot be excluded.

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Section: Discussionsupporting

confidence: 92%

Scrotoscopy and traditional open surgery shows a high degree of consistency in the diagnosis of testicular torsion

Hong

Cai

et al. 2020

Medicine

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“…Scrotoscopy is a minimally invasive procedure, and has been increasingly used in scrotal diseases. [5,7,8,17] In the present study, scrotoscopic examination successfully identified TR in all 9 patients, without a false positive case (0/6). The operation did not take much time, taking only 5–13 min.…”

Section: Discussionsupporting

confidence: 60%

Scrotoscopy exploration of testicular rupture

et al. 2019

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To examine whether scrotoscopy could be used to diagnose testicular rupture (TR) with accuracy.This retrospective study included all patients receiving scrotoscopy followed by immediate open exploration (OE) for suspected TR at two Chinese tertiary care centers between March 2014 and March 2018.Fifteen patients suspected of having TR were included. TR was considered in 8 patients (8/15) via emergency scrotal ultrasound (ESU) examination. Of these 8 patients, 6 cases as well as 3 other cases, a total of 9 cases (9/15) were confirmed TR by scrotoscopy and OE; the remaining 6 patients (6/15) were found disease free. The presence/absence of TR was identified correctly with scrotoscopy in all 15 cases. The rupture size of the testicular tunica albuginea (TTA) varied from 0.5 to 2 cm. Only 3 cases (3/15) had scrotal wall edema and all quickly recovered. The testis was normal in size and blood flow at 6-month follow-up visit.Scrotoscopy accurately diagnoses TR, and may avoid unnecessary OE, especially for the patients confirmed free of disease.

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“…Their study proved that MECS may be a safe, effective, and encouraging technique for EC treatment. In 2016, Ye et al [ 7 ] employed a pediatric cystoscope as a scrotoscope to examine the testis/epididymis of patients with acute onset of scrotal pain and verified that it was a minimally invasive, safe, and effective approach for the early diagnosis of testicular torsion (100% specificity and sensitivity).…”

Section: Discussionmentioning

confidence: 99%

“…In 2014, Yan et al [ 6 ] were the first to treat testicular hydrocele with the aid of a scrotoscope, providing a viable and encouraging technique for the diagnosis and treatment of hydrocele. Furthermore, in 2016, Ye et al [ 7 ] verified that scrotoscopy was a minimally invasive, safe, and effective approach for the early diagnosis of testicular torsion.…”

Section: Introductionmentioning

confidence: 99%

How to Treat Chronic Idiopathic Testicular Pain? Scrotoscopy with a Novel Percutaneous Endoscopy Equipment

Lei

Luo

et al. 2018

BioMed Research International

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Background Management of chronic idiopathic testicular pain may be difficult because of problems identifying the causes. We evaluated “AUTOKLAV”, a novel endourological nephrolithotomy device to diagnose and treat chronic idiopathic testicular pain. Methods We divided 103 patients to either scrotoscopy group (SG, n = 64) or open exploration group (OEG, n = 39) between September 2014 and March 2017 at Zhongnan Hospital. Perioperative information, like operating time, length of incision, and wound infections, was carefully recorded during in hospital. Follow-up data, like pain scores improvement, satisfaction with penis appearance, and adverse event, were collected at one month postoperatively. Results Finally, both the operating time and length of incision showed better performance for SG (43.6 ± 4.7 versus 51.5 ± 9.0 min; 0.7 ± 0.2 versus 4.1 ± 0.8 cm; both P <0.01). Though the pain improvement had no significant differences between the two groups (2.92 ± 0.99 and 2.14 ± 1.02, p>0.05), SG showed obvious advantages in incidence of wound infections and satisfaction with wound/scrotum appearance (0% versus 2.9%; 96.4% versus 85.3%, both P<0.05). Conclusions In conclusion, scrotoscopy using the novel AUTOKLAV device is feasible, has an acceptable complication rate, and can be effective and safe in men with idiopathic chronic testicular pain. Etiologically, secondary inflammatory changes caused by the complete or incomplete torsion of testicular or epididymis appendices or by the existence of stones in the tunica sac might be responsible for the pain.

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A Minimally Invasive Method in Diagnosing Testicular Torsion: The Initial Experience of Scrotoscope

Cited by 9 publications

References 14 publications

Scrotoscopy and traditional open surgery shows a high degree of consistency in the diagnosis of testicular torsion

Scrotoscopy and traditional open surgery shows a high degree of consistency in the diagnosis of testicular torsion

Scrotoscopy exploration of testicular rupture

How to Treat Chronic Idiopathic Testicular Pain? Scrotoscopy with a Novel Percutaneous Endoscopy Equipment

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