Real-world management of testicular torsion: Level of adherence to the EAU Pediatric Urology guidelines

Doeveren, Thomas van; Somani, Bhaskar K.; Hoen, Lisette A. t; Haensel, Stefan M.

doi:10.1016/j.jpurol.2022.09.020

Cited by 6 publications

(4 citation statements)

References 15 publications

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“…Notably, in a recent European and Dutch survey investigating the adherence of urologists to the European Association of Urology (EAU) pediatric Guideline on testicular torsion, the authors found that only 38% of responders attempted manual detorsion. 17 Furthermore, the same survey disclosed that 23% of the responders preferred not to perform emergency surgery after successful manual detorsion. We instead believe that even after a successful detorsion, the testis should be fixed to avoid potential recurrence, as suggested by the most recent EAU Pediatric Guideline on testicular torsion.…”

Section: Commentmentioning

confidence: 98%

The Role of Manual Detorsion in Pediatric Testicular Torsion During the Global COVID-19 Pandemic: Experience From 2 Centres

Russo

Cozzi

Gaglione

et al. 2023

Urology

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Section: Commentmentioning

confidence: 98%

The Role of Manual Detorsion in Pediatric Testicular Torsion During the Global COVID-19 Pandemic: Experience From 2 Centres

Russo

Cozzi

Gaglione

et al. 2023

Urology

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“…20 However, a study completed after publication of these guidelines showed that only 38% of pediatric urologists use manual detorsion in the treatment of pediatric testicular torsion. 21 Some experts oppose manual reduction in the emergency setting due to concern that improperly performed detorsion can worsen the degree of torsion or damage the strangulated cord. Lateral direction of torsion is depicted sonographically by outward or counterclockwise rotation of the spermatic cord.…”

Section: Discussionmentioning

confidence: 99%

Manual detorsion in pediatric testicular torsion: A narrative review of the literature

Scheier

2024

Urologia

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Manual detorsion is infrequently performed in pediatric emergency medicine, particularly in centers with urology coverage. In no other emergency condition does an emergency physician not take immediate action to alleviate pain and damage, even if definitive care is close by. A small number of case reports exist in which pediatric emergency physicians have performed manual detorsion. This review the literature presents the case for routine manual detorsion prior to definitive orchiopexy.

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“…Twitter/X). Data was collected and stored anonymously using Opinio (Object Plant, Survey structure A 30 question survey was developed based on review of the current literature on pediatric TT management [7], [12], [13]. The survey consisted of questions on respondent demographic information (eg.…”

Section: Methodsmentioning

confidence: 99%

“…Despite this variability in TT management, there is limited data on practice patterns by Canadian urologists. With knowledge of real-world practice patterns for pediatric TT, treatment approaches can be optimized based on resource availability and geographical limitations [7], [12].…”

Section: Introductionmentioning

confidence: 99%

Pediatric testicular torsion management practices

MacNevin,

MacDonald,

MacLellan

et al. 2024

CUAJ

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Introduction: Pediatric testicular torsion (TT) is a urologic emergency that may result in testicular loss if left untreated. Testicular salvage is dependent on prompt intervention, and thus delays in diagnosis and management may threaten testicular viability. Knowledge of real-world Canadian practice patterns for pediatric TT will allow optimization of practices based on resource availability and geographic limitations to improve care. Methods: An electronic survey on pediatric TT management was distributed to Canadian urologists. Descriptive statistics were performed on respondent demographic factors, hospital policies and barriers to care, surgical approaches, and transfer practices. Respondent practice patterns were analyzed based on geographic location and training. Results: Thirty-four urologists responded, with the majority of respondents operating a community practice. Ultrasonography (US) was frequently used to support TT diagnosis. Despite this, poor US access was often cited as a barrier to care, with particular impact on rural urologists. Neonatal patients and <10 years old were commonly transferred to a pediatric hospital for definitive management due to surgeon discomfort and hospital policies. Reported transport methods commonly included use of the patient’s own vehicle or ambulance based on availability and timing. Conclusions: Neonatal patients and patients under 10 years old are most commonly reported to be transferred to pediatric hospitals for TT management. Patients located in rural locations and at centers with limited US access may be at risk for delayed diagnosis and treatment. Pathways for prompt management of suspected TT may better serve these younger pediatric patients.

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Real-world management of testicular torsion: Level of adherence to the EAU Pediatric Urology guidelines

Cited by 6 publications

References 15 publications

The Role of Manual Detorsion in Pediatric Testicular Torsion During the Global COVID-19 Pandemic: Experience From 2 Centres

The Role of Manual Detorsion in Pediatric Testicular Torsion During the Global COVID-19 Pandemic: Experience From 2 Centres

Manual detorsion in pediatric testicular torsion: A narrative review of the literature

Pediatric testicular torsion management practices

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