Late postoperative results in males treated for testicular torsion during childhood

Tryfonas, G.; Violaki, Assimina; Tsikopoulos, George; Avtzoglou, P.; Zioutis, John; Limas, Christos; Gregoriadis, George; Badouraki, Maria

doi:10.1016/0022-3468(94)90090-6

Cited by 122 publications

(78 citation statements)

References 15 publications

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“…In addition to its duration, the degree of rotation has been implicated in the clinical outcome. [19][20][21] Ischemia can occur as soon as 4 hours after torsion and is almost certain after 24 hours. [22] It was reported that if detorsion occurred in less than 6 hours or after 24 hours, testicular salvage rates of 90% and less than 10% could be achieved, respectively.…”

Section: Resultsmentioning

confidence: 99%

Treatment of acute scrotum in children: 5 years' experience

Erikçi

Hoşgör²,

Aksoy³

et al. 2013

Ulus Travma Acil Cerrahi Derg

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Section: Resultsmentioning

confidence: 99%

Treatment of acute scrotum in children: 5 years' experience

Erikçi

Hoşgör²,

Aksoy³

et al. 2013

Ulus Travma Acil Cerrahi Derg

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“…All cases with torsion greater than 360° and more than 24-hour duration will have ipsilateral testicular loss or severe atrophy if the testis is left in situ [7]. Tryfonas et al [18] reported testicular atrophy after torsion for as briefly as 4 h in duration but with greater than 360°t orsion. Cummings et al [19] reported testicular salvage rates of 70.3 and 40% when the cord had twisted a mean of 431 and 585°, respectively.…”

Section: Discussionmentioning

confidence: 99%

Testicular Torsion: A Perspective from the Middle East

et al. 2004

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Objective: To report our experience in the management of testicular torsion with emphasis on seasonal variation, salvage rate and the status of the torted testis 3–6 months after orchidopexy. Subjects and Methods: Seventy-five patients with a presumptive diagnosis of testicular torsion, who presented to our hospital between January 1999 and December 2002, were included in the study. Following scrotal exploration, 63 patients were found to have testicular torsion. Of these, 11 with nonviable testes had orchiectomy while 52 with viable testes had orchidopexy. Both groups of patients had simultaneous contralateral orchidopexy. Patients who had orchidopexy were followed up 3-monthly by testicular ultrasound to assess the volume of the affected testis. Results: Sixty-three patients were confirmed to have testicular torsion. The average number of new cases in the winter was 6.7 compared to 4 in the summer. Fifty-two patients underwent orchidopexy to give an operative salvage rate of 82.5%. Of 51 patients in whom the duration of torsion was less than 24 h, 1 (2.0%) had a nonviable testis, whereas of 12 patients in whom the duration of torsion was more than 24 h, 10 (83.3%) had a nonviable testis. After a minimum follow-up of 3 months for patients who had orchidopexy, 7 (13.5%) developed testicular atrophy. The incidence rate was estimated to be 7.9 cases per 100,000 population. Conclusion: The highest incidence was during the cold season. The outcome of surgical management of testicular torsion was dependent on the duration of torsion.

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“…Bij een torsio treedt er na 6 uur al progressieve irreversibele schade op in de functie van de sertolicel (spermatogenese) en na 10-12 uur in de functie van de leydigcel (hormoonproductie) van de aangedane testis. [16][17][18] Bij een ischemieduur langer dan 12 uur is compleet verlies van beide testiculaire functies de regel. 16,19 Een unilaterale torsio vóór de puberteit blijkt in klinische en experimentele studies de fertiliteit en hormonale functie op latere leeftijd niet aan te tasten.…”

Section: Oorzaak En Gevolgenunclassified

“…[16][17][18] Bij een ischemieduur langer dan 12 uur is compleet verlies van beide testiculaire functies de regel. 16,19 Een unilaterale torsio vóór de puberteit blijkt in klinische en experimentele studies de fertiliteit en hormonale functie op latere leeftijd niet aan te tasten. 16,17,20 Dit wijst erop dat één testikel voldoende is voor een normale fertiliteit.…”

Section: Oorzaak En Gevolgenunclassified