Hodentorsion nach prophylaktischer Orchidopexie

Abstract

Even though very rare, orchidopexy does not exclude re-torsion of a fixed testis, regardless of the employed operative technique and sutures used. It should be considered in the differential diagnosis of acute scrotum. Operative detorquation should not be delayed and, in order to avoid loss of the affected testis, diagnostic procedures should kept short. After orchidopexy the patient and his relatives must be informed about the possibility of a re-torsion.

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

“…A total of 11 (42.3%) studies were ranked as high quality, 12,14,15,17,21,23,24,26,27,36,37 seven (26.9%) as intermediate quality 13,16,20,22,[29][30][31] and 8 (30.1%) as low quality. 18,19,25,28,[32][33][34][35] Details of the included articles are described in Tables 2-4.…”

“…Among the included articles, 10 (38.5%) emanated from the USA, 15,16,[19][20][21][22]26,[31][32][33] five (19.2%) from the UK, 23,24,27,29,30 two (7.7%) each from Ireland, 13,37 Denmark, 35,36 and Germany 28,34 and one (3.8%) each from New Zealand, 17 Israel, 12 the Netherlands, 14 France 25 and Qatar. 18 Age range of study subjects…”

“…[12][13][14][15][16][17][19][20][21][22][23][24][27][28][29][30][31][32][33][34] Time to ED presentation from presumed onset of RTT Among the 36 (78.3%) cases in whom time to ED presentation from the presumed onset of RTT was reported, the median (IQR) time was 6 (3-36) hours after the onset of testicular pain. [12][13][14][15][16][17][18][19][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37] Presenting features of RTT The most common signs and symptoms on RTT were testicular pain (n = 46, 100%), testicular swelling (n = 28, 60.9%), [13][14][15]1...…”

“…[12][13][14][15][16][17][18][19][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37] Presenting features of RTT The most common signs and symptoms on RTT were testicular pain (n = 46, 100%), testicular swelling (n = 28, 60.9%), [13][14][15]18,19,23,24,26,27,[29][30][31][32]34,37 a riding high testicle (n = 16, 34.8%), 13,16,[19][20][21][22]24,26,27,30,[35]…”

“…16,27 Affected side of TT and RTT At the initial presentation of TT, the right testicle was more commonly affected (n = 26, 56.5%), 12,14,15,21,22,25,[27][28][29][31][32][33][34] whereas at the recurrent presentation, the left testicle was more commonly affected (n = 29, 63.0%). [12][13][14][15][16][17][18][20][21][22]24,25,[27][28][29][31][32][33][34][35][36] Overall, RTT was on the ipsilateral side in 24 (52.2%) cases 13,14,[16][17][18]20,21,23,24,27,30,31,34,35,…”