Testicular torsion: a 15‐year single‐centre clinical and histological analysis

Abstract

Chances of testicular salvage after torsion are higher if patients present early. The majority of patients presenting late (>6 h) require orchiectomy owing to testicular necrosis.

Re‐presentations and recurrent events following initial management of the acute paediatric scrotum: a 5‐year review

“…1,5 However, there are only limited reports of early outcomes and re-presentation rates, particularly with comparison of conservative and operative management, with limited data on short-term morbidity associated with scrotal exploration. 3,[5][6][7][8][9][10] This study demonstrated a 10% re-presentation rate following initial management of the acute scrotum, with similar frequency of return in those managed conservatively and operatively at first presentation. Exploration rate on second presentation was notably higher in the subgroup of patients initially discharged without surgical intervention (71%).…”

Testicular and paratesticular tumors and tumor-like lesions in the first 2 decades

“…The left testis is involved in 60-66% of cases. 244,245 On gross examination the testis is usually diffusely hemorrhagic and edematous. In a case where an intra-abdominal testis in a 3-month-old infant underwent torsion, the cut surface showed multiple cystic cavities, one to several centimeters in diameter, corresponding to areas of hemorrhagic necrosis of the parenchyma.…”

Application of ultrasound technology in the study of ischemic postconditioning to protect testes from ischemia-reperfusion injury

“…Timely restoration of blood flow is the most effective approach to save the ischemic testis (Ringdahl and Teague, 2006;Saxena et al, 2012). However, testicular torsion/restoration is a development process of ischemia-reperfusion injury, which can further aggravate the ischemic injury of the testis (Turner and Brown, 1993).…”