Testicular torsion: epidemiological risk factors for orchiectomy in pediatric and adult patients

Greear, Garrick; Romano, Michael F.; Katz, Mark H.; Munárriz, Ricardo; Rague, James T.

doi:10.1038/s41443-020-0331-8

Cited by 39 publications

(38 citation statements)

References 20 publications

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“…Testicular torsion (TT) is an urological emergency and needs prompt management. The incidence rate of TT in pediatrics is about 3.8–5.9 per 100,000, TT is not common but a time dependent urgent event [ 1 – 3 ]. Delay in diagnosis and management of TT is associated with a poor clinical outcome, which may lead to testicular atrophy or even totally loss of the affected testis [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

Demographic, clinical, and socioeconomic factors associated with delayed diagnosis and management of pediatric testicular torsion in West China: a retrospective study of 301 cases in a single tertiary children’s hospital

Zhao

et al. 2021

BMC Pediatr

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Background To investigate the association between geographic, clinical, socioeconomic factors and delayed management of pediatric testicular torsion (TT) in West China. Methods A retrospective study was conducted on TT at Children’s Hospital of Chongqing Medical University in West China from November 2004 to December 2020. Univariate analysis and logistic regression analysis were conducted to determine the association between these factors and delayed management of TT. Results A total of 301 cases were included in this study. The misdiagnosis rate of TT in primary, secondary healthcare units and tertiary hospitals was 93.8, 71.1, and 8.9%, respectively. Approximately 26.9% of TT boys received timely surgical management (within 12 h from symptoms inset to surgery). Logistic regression analyses suggested the following factors were associated with delayed repair of TT: age less than 6 years (P = 0.001), with a history of symptoms progress (P = 0.001) or former treatment (P <0.001), absence of other diagnosis (P = 0.011) and those boys living far away from the main city zones (P <0.001). Conclusions Delayed surgical management for TT was more likely for boys with age less than 6 years, the absence of other diagnosis, with a history of former treatment or symptoms progress, and those living far away from the main city zone. To maximize the possibility of timely surgical management for TT, it is vital to strengthen the public awareness of TT and conduct continuously re-education and update physicians working at primary and secondary healthcare units.

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Section: Introductionmentioning

confidence: 99%

Demographic, clinical, and socioeconomic factors associated with delayed diagnosis and management of pediatric testicular torsion in West China: a retrospective study of 301 cases in a single tertiary children’s hospital

Zhao

et al. 2021

BMC Pediatr

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“…However, a 2-year U.S. nationwide medical records review found that up to 14% of all cases occur in adults. Importantly, adults > 50 years old had the lowest salvage rates of any age group, with significantly higher delay in presentation for adult patients [2].…”

Section: Is Testicular Torsion Only a Concern In The Pediatric Population?mentioning

confidence: 94%

Just the facts: assessment and management of testicular torsion in the emergency department

2021

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“…L’ischémie aiguë du testicule peut mener à la nécrose de la pulpe testiculaire, mettant en jeu son pronostic fonctionnel. Outre le nombre de tours de spire, c’est surtout le délai de prise en charge et la rapidité d’accès au bloc opératoire qui conditionnent la sauvegarde du testicule [ 14 ].…”

Section: Introductionunclassified

Prise en charge de la torsion du testicule par un chirurgien généraliste isolé en Afrique

Long-Depaquit

Chiron

Bourgouin

et al. 2022

Mtsi

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Résumé L’apparition d’une douleur scrotale brutale et intense pose plusieurs problèmes quand elle survient chez un homme jeune en Afrique. Parmi les étiologies possibles, la torsion testiculaire est l’urgence chirurgicale à écarter, car au-delà de 6 heures d’évolution le pronostic fonctionnel du testicule est engagé. L’évolution septique vers une fonte purulente, en cas de torsion dépassée, est aussi possible. D’incidence légèrement inférieure à celle des pays occidentaux, la méconnaissance de cette pathologie par les acteurs de santé de proximité, la précarité ou l’isolement sanitaire de certaines populations dans certaines régions sous-médicalisées, contribuent aux retards diagnostique et thérapeutique. Cela conduit souvent à une évolution péjorative, la perte du testicule étant directement corrélée au délai de prise en charge. La torsion testiculaire a ainsi été identifiée comme l’une des principales causes d’infertilité masculine en Afrique. Pourtant, le diagnostic clinique et le traitement chirurgical nécessitent peu de moyens et restent accessibles dans un milieu à faibles ressources ou en conditions précaires. Cet article reprend le tableau clinique de torsion du cordon spermatique et la technique d’orchidopexie.

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Testicular torsion: epidemiological risk factors for orchiectomy in pediatric and adult patients

Cited by 39 publications

References 20 publications

Demographic, clinical, and socioeconomic factors associated with delayed diagnosis and management of pediatric testicular torsion in West China: a retrospective study of 301 cases in a single tertiary children’s hospital

Demographic, clinical, and socioeconomic factors associated with delayed diagnosis and management of pediatric testicular torsion in West China: a retrospective study of 301 cases in a single tertiary children’s hospital

Just the facts: assessment and management of testicular torsion in the emergency department

Prise en charge de la torsion du testicule par un chirurgien généraliste isolé en Afrique

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