Diagnosis and treatment of cryptorchid testicular torsion in children: A 12-year retrospective study

Abstract

PurposeTo investigate the clinical characteristics, treatment, and prognosis of cryptorchid testicular torsion in children.MethodsThe clinical data of 25 children who received treatment for cryptorchid testicular torsion between January 2010 and December 2021 were retrospectively reviewed. The median age of the patients was 64.5 months (range: 2 months to 15 years). All patients had unilateral torsion, and the duration of symptoms ranged from 3 to 192 h.ResultsAmong the 25 patients, five underwent orchidopexy, while the remaining 20 underwent orchiectomy. After 6 months to 8 years of follow up, the 20 patients who had undergone orchiectomy had a well-developed testis on the healthy side. Four of the five patients who had undergone orchidopexy of the affected testis had well-developed testes bilaterally, while one experienced testicular atrophy.ConclusionCryptorchid testicular torsion is a rare urological emergency that displays a delayed presentation and is often misdiagnosed. Clinicians need to carefully review the patient's medical history and ultrasound findings and perform a thorough physical examination to make a correct diagnosis. Active testicular exploration is required for patients suspected to have cryptorchid testicular torsion, and the decision to perform orchidopexy or orchiectomy depends on the intraoperative situation.

A 7-year-old with extravaginal torsion of an undescended testicle in the left inguinal region: The first case report from Syria.

“…The recommended period for surgical exploration and orchidopexy is between 6 months and 18 months of age, as this is when the probability of a spontaneous descent becomes less likely [8]. Orchiectomy is recommended if testicular necrosis has been observed and if there is no blood flow [9]. In our case, we presented a 7-year-old child who had undescended testicle torsion in inguinal region, which is uncommon in this age range.…”

A 7‐year‐old with extravaginal torsion of an undescended testicle in the left inguinal region: The first case report from Syria

“…The recommended period for surgical exploration and orchidopexy is between 6 months and 18 months of age, as this is when the probability of a spontaneous descent becomes less likely 7 . Orchiectomy is recommended if testicular necrosis has been observed and if there is no blood flow 8 . In our case, we presented a 7‐year‐old child who had undescended testicle torsion in inguinal region, which is uncommon in this age range.…”

“… 7 Orchiectomy is recommended if testicular necrosis has been observed and if there is no blood flow. 8 In our case, we presented a 7‐year‐old child who had undescended testicle torsion in inguinal region, which is uncommon in this age range. There has not been any urogenital examination since the patient's birth due to poverty and neglect.…”

Comparison of clinical features and outcomes between two age groups of cryptorchidism testicular torsion in children: a retrospective study in single center

“…To the best of our knowledge, there are little researches about cryptorchidism testicular torsion to compare between groups according to the high-risk age. Testicular torsion in patients with cryptorchidism accounts for 6.8%∼21.0% of all testicular torsion cases ( 10 – 13 ). In our research, the prevalence of cryptorchidism torsion is 9.25% (16/173), which is the same as other studies.…”