Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Saxena, A; Castellani, C; Ruttenstock, E; Höllwarth, M.
Testicular torsion: a 15-year single-centre clinical and histological analysis.
Acta Paediatr. 2012; 101(7):e282-e286
Doi: 10.1111/j.1651-2227.2012.02644.x
Web of Science
PubMed
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- Führende Autor*innen der Med Uni Graz
- Saxena Amulya Kumar
- Co-Autor*innen der Med Uni Graz
- Castellani Christoph
- Höllwarth Michael
- Ruttenstock Elke Maria
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- Abstract:
- Aim: This study reviewed the demographic, epidemiological and clinical factors of boys seen at a single centre who underwent surgical exploration for testicular torsion. Methods: Retrospective single-centre review of boys with testicular torsion between 1996 and 2011 was made. Results: Testicular torsion (right n = 43, left n = 60, bilateral n = 1) was identified in 104 boys between 0 and 18 years. Ten newborns presented with 11 intrauterine torsions. Nine torsions presented in undescended inguinal testes (one intrauterine). In 94 boys with descended testes, presentation included pain (76%), scrotal swelling (65%) and abdominal symptoms (22%). Ultrasonography was performed in 85 patients with false-negative results in 4 (4.7%). Orchiectomy was performed during initial exploration in 41, with significantly higher rates of orchiectomies in patients with late (>6 h) versus patients with early referrals (<6 h) (56% vs. 9.1%). Histological evaluation was carried out in 68 testes, with 43 resected testes demonstrating haemorrhagic necrosis. In 25 biopsied testes, histology revealed acute parenchymal bleeding (n = 14), onset of parenchymal infarction (n = 8), orchitis (n = 1) and normal tissue (n = 2). Eighty-two patients were followed up with pathological findings in four patients: testicular atrophies requiring orchiectomy (n = 2), testicular autolysis (n = 1) and small testicular vein thrombosis (n = 1). Conclusion: 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.
- Find related publications in this database (using NLM MeSH Indexing)
- Adolescent -
- Age Factors -
- Age Factors - epidemiology
- Child -
- Child, Preschool -
- Follow-Up Studies -
- Humans -
- Infant -
- Infant, Newborn -
- Male -
- Necrosis -
- Orchiectomy -
- Prognosis -
- Retrospective Studies -
- Spermatic Cord Torsion - diagnosis Spermatic Cord Torsion - epidemiology Spermatic Cord Torsion - surgery
- Testis - pathology
- Ultrasonography, Doppler -
- Find related publications in this database (Keywords)
- Children
- Histology
- Newborns
- Outcomes
- Testicular torsion