Testicular volume loss in the long-term follow-up after surgical detorsion of the testis

Hamarat, Mustafa Bilal; Dönmez, Muhammet İrfan; Sezgin, Tezcan; Ünlü, Mahmud Zahid; Kocaoğlu, Canan; Özkent, Mehmet Serkan; Keçeli, Avni Merter

doi:10.1007/s00383-022-05118-x

Cited by 2 publications

(2 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…All of our patients were in the young and early middle age groups. When comparing age and testicular volume, no significant statistical correlation was found, which is consistent with most other data in the literature [9][10][11][12][13]. SWE is a relatively novel, reliable, and non-invasive imaging technique that provides data on histopathological alterations in many tissues.…”

Section: Discussionsupporting

confidence: 86%

Comparison of testicular stiffness values obtained by ultrasound shear-wave elastography and magnetic resonance elastography in normal healthy volunteers

POÇAN,

KARAKAŞ

2024

The European Research Journal

View full text Add to dashboard Cite

Objectives: This study aimed to contribute to the standardization of elastography by comparing stiffness values obtained from ultrasound shear wave elastography (SWE) and magnetic resonance elastography (MRE) of the testicular parenchyma in healthy volunteers. Methods: A total of 22 healthy volunteers (44 testes) were included in this study. Of the 26 cases analyzed, four were excluded from the study due to the exclusion criteria. The testicular parenchyma of the included patients was evaluated using MRE and SWE examinations. Pearson's correlation test was used to calculate the correlation between age and stiffness values, testicular volumes and stiffness values, and stiffness values from both examinations. Results: The mean SWE stiffness of the right testes was 5.560±3.1 kPa and the mean SWE stiffness of the left testes was 5.361±2.9 kPa. The mean MRE stiffness of the right testes was 6960.11±460 Pa and the mean MRE stiffness of the left testes was 6560.19±310 Pa. There was no significant correlation between SWE and MRE stiffness values (P=0.096). There was also no significant statistical correlation between SWE and MRE stiffness values and testicular volumes (P=0.17 and P=0.093, respectively). Conclusions: No statistical correlation was found between the stiffness values obtained by SWE and those obtained by MRE in the normal testicular parenchyma. Additionally, no conclusive relationship between stiffness levels, age, or testicular volume was discovered.

show abstract

Section: Discussionsupporting

confidence: 86%

Comparison of testicular stiffness values obtained by ultrasound shear-wave elastography and magnetic resonance elastography in normal healthy volunteers

POÇAN,

KARAKAŞ

2024

The European Research Journal

View full text Add to dashboard Cite

show abstract

“…In our study, we can provide no information regarding the follow-up of the patients who underwent orchiopexy following testicular torsion in our center. Recent studies report of high atrophy rates in patients who undergo salvage orchiopexy following detorsion, [20][21][22] and it is hypothesized that the percentage of volume loss of the affected testis reflects the percentage of tissue damage sustained and that a volume loss of more than 80%, very possibly reflects a non-viable testis that was not removed. 19 Regarding the effect of the preservation of a possibly non-viable testis on the contralateral testis and how preservation could influence fertility later, the evidence remains inconclusive.…”

Section: F I G U R Ementioning

confidence: 99%

Retrospective histological evaluation of orchiectomy specimens following testicular torsion reveals a 10% incidence of reversible injury. Is it time for a change of strategy?

et al. 2022

View full text Add to dashboard Cite

Background According to standard medical practice, immediate orchiectomy is advised in the case of a non‐viable testis following testicular torsion. Because of the lack of objective criteria in the evaluation of testicular viability, the fate of the testis solely depends on the discretion and experience of the surgeon. Objective In this study, we retrospectively reassess the management of patients with testicular torsion in our center, and we ask the question, from a retrospective point of view, of whether the decision to perform orchiectomy has always been correct. Materials and methods We retrospectively reviewed all cases of patients with testicular torsion who underwent surgery in our center between 2001 and 2021. All orchiectomy specimens were reevaluated and graded by an experienced pathologist using the Mikuz grading system. Results Immediate orchiectomy was performed in 48 of the 136 patients (35%). Five (10.4%) of the 48 orchiectomy specimens were categorized as “grade 1,” and 17 (35.4%) were categorized as “grade 2.” The time between the onset of symptoms and surgical exploration exceeded 12 h in three of the five patients with a “grade 1” testicular injury, and in one case, it even exceeded 24 h. Discussion “Grade 1” testicular injury is potentially reversible, whereas the fate of a testis with a “grade 2” testicular injury remains unknown. Whether and to what extent partial testicular tissue salvage in a “grade 2” injury is still possible remain unclear. Conclusions Our results indicate that at least 10% of the testicles removed in our center could, from a retrospective point of view, have been salvaged. Our study further demonstrated that the duration of symptoms is not an absolute indicator of testicular damage and that the decision of whether orchiectomy should be performed, based simply on the subjective macroscopic image of the affected testis, is not always correct.

show abstract

Testicular volume loss in the long-term follow-up after surgical detorsion of the testis

Cited by 2 publications

References 18 publications

Comparison of testicular stiffness values obtained by ultrasound shear-wave elastography and magnetic resonance elastography in normal healthy volunteers

Comparison of testicular stiffness values obtained by ultrasound shear-wave elastography and magnetic resonance elastography in normal healthy volunteers

Retrospective histological evaluation of orchiectomy specimens following testicular torsion reveals a 10% incidence of reversible injury. Is it time for a change of strategy?

Contact Info

Product

Resources

About