Die Umwendungsorchidopexie zur Rezidivprophylaxe einer Hodentorsion

Lent, V.; Viegas, H.

doi:10.1007/s00120-012-3070-8

Cited by 5 publications

(3 citation statements)

References 31 publications

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“…16,19,27,29 The fixation of the tunica albuginea to the dartos muscle, as well as eversion of the tunica albuginea, has been shown, at least in the current available literature, to prevent retorsion. 45 It must be noted, however, that there is currently no available literature on the third occurrence of torsion, which may be a consequence not yet reported. Current surgical technique recommendations include orchidopexy of both testes with non-absorbable sutures with fixing of the testes via the dartos pouch or directly to the dartos pouch.…”

Section: Discussionmentioning

confidence: 98%

“…The use of non‐absorbable sutures, at three sites is recommended 16,19,27,29 . The fixation of the tunica albuginea to the dartos muscle, as well as eversion of the tunica albuginea, has been shown, at least in the current available literature, to prevent retorsion 45 . It must be noted, however, that there is currently no available literature on the third occurrence of torsion, which may be a consequence not yet reported.…”

Section: Discussionmentioning

confidence: 99%

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Recurrent testicular torsion post orchidopexy ‐ an occult emergency: a systematic review

Welie

Adam

et al. 2022

ANZ Journal of Surgery

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Background: Recurrent Testicular Torsion (RTT) is a rarely reported event after previous testicular torsion (TT) repair. Both conditions have similar signs and symptoms. Various techniques have been attempted to reduce the incidence of retorsion. This review assesses the presentation, diagnosis, risk factors, management and outcomes associated with RTT. Methods: After PROSPERO Registration (CRD42021258997), a systematic search of PubMed, Google Scholar, Embase, Scopus, Web of Science, Cochrane Database of Systematic Reviews, Global Index Medicus and Cumulative Index to Nursing and Allied Health Literature (CIANHL) was performed using specific search terms. Study metadata including patient demographics, orchidopexy techniques, RTT rates and RTT timing were extracted. Results: Twenty-six articles, comprising 12 case series and 14 case reports, with a total of 46 patients were included. Overall, the median (IQR) age of the pooled cohort was 18 (15-26) years, the median (IQR) time to presentation was 6 (3-36) hours from the onset of testicular pain. The most common presenting features were testicular pain (100%), testicular swelling (60.9%) and a high riding testicle (34.8%). The left testicle was most commonly affected (63.0%), RTT was on the ipsilateral side in relation to the primary episode of TT in 52.2% of cases, the median (IQR) interval between torsion and retorsion events was 4 (1.3-10.0) years, non-absorbable sutures were the most common suture material used during orchidopexy after RTT (88.9%). Conclusion: RTT is a rare presentation to the Emergency Department. Even with a prior history of TT, RTT should be considered in patients presenting with classic symptoms.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Recurrent testicular torsion post orchidopexy ‐ an occult emergency: a systematic review

Welie

Adam

et al. 2022

ANZ Journal of Surgery

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“…Filho et al found that orchiectomy rates increased at 540 degrees, and testes were salvaged in all patients with less than 360 degrees of twist and removed in all patients with over 180 degrees of twisting [19]. Another study found that non-salvageable testicles tend to have a significantly higher degree of twisting when compared to salvageable testicles [20].…”

Section: Figure 3: Number Of Patients By the Time Period Of Presentationmentioning

confidence: 99%

Outcomes of Surgical Exploration of Acute Scrotal Pain Raising Suspicion of Testicular Torsion

Ebrahim,

Alaysreen,

Yousif

2023

Cureus

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Background and objectiveTesticular torsion (TT) is a surgical emergency, affecting approximately one in every 4000 males under the age of 25 years annually in the United States. In this study, we aimed to determine the outcomes of emergency scrotal surgical exploration of cases that raised suspicion of TT presenting to Salmaniya Medical Complex (SMC), Bahrain's largest secondary and tertiary care center. MethodsThis was a retrospective cohort study. The data were collected from the hospital's electronic medical record software (I-SEHA). The data included patient age, Doppler ultrasound (DUS) findings prior to any surgical procedure, type of surgical procedure, and the surgical findings of that procedure. ResultsOf the 198 patients who underwent scrotal exploration, 141 had presented with signs and symptoms suggestive of TT. The mean age of the patients was 22.3 ±9.3 years. Doppler imaging was performed preoperatively on 135 out of 141 (95.7%) patients. After scrotal exploration, 91.4% of the patients were found to have TT. The proportion of patients with salvageable testis was 78.7%. ConclusionsThe study found that surgical exploration remains the definitive method in the management of acute scrotum in TT patients. Our findings are in line with those from other similar studies and meta-analyses.

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Genitale: Hoden

Zimmermann¹,

Schmelz²

2021

Komplikationen in Der Urologie

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Die Umwendungsorchidopexie zur Rezidivprophylaxe einer Hodentorsion

Abstract: On the basis of these results it may be concluded that eversion orchidopexy can be considered to be a safe and effective method for the prophylaxis of recurrent testicular torsion in comparison to alternative methods.

Cited by 5 publications

References 31 publications

Recurrent testicular torsion post orchidopexy ‐ an occult emergency: a systematic review

Recurrent testicular torsion post orchidopexy ‐ an occult emergency: a systematic review

Outcomes of Surgical Exploration of Acute Scrotal Pain Raising Suspicion of Testicular Torsion

Genitale: Hoden

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