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. 2015 Feb;25(1):e248.
doi: 10.5812/ijp.248. Epub 2015 Feb 21.

Scrotal Exploration for Testicular Torsion and Testicular Appendage Torsion: Emergency and Reality

You Yu  1 , Feng Zhang  2 , Qun An  1 , Long Wang  1 , Chao Li  1 , Zhilin Xu  1
Affiliations

Scrotal Exploration for Testicular Torsion and Testicular Appendage Torsion: Emergency and Reality

You Yu et al. Iran J Pediatr. 2015 Feb.

Abstract

Background: Scrotal exploration is considered the procedure of choice for acute scrotum.

Objectives: We evaluated the importance of early diagnosis and testicular salvage on the therapeutic outcomes of patients with pediatric testicular torsion (TT) and testicular appendage torsion (TAT) in our geographic area.

Patients and methods: We performed a retrospective database analysis of patients who underwent emergency surgery for TT or TAT between January 1996 and June 2009. Patient history, physical examination findings, laboratory test results, color Doppler sonography (CDS) results, and surgical findings were reviewed.

Results: A total of 65 cases were included in our analysis. Forty-two cases were followed up for at least 3 months. Testicular tenderness was identified as the major clinical manifestation of TT, while only a few patients with TAT presented with swelling. CDS was an important diagnostic modality. The orchiectomy rate was 71% in the TT group.

Conclusions: Cases of acute scrotum require attention in our area. Early diagnosis and scrotal exploration could salvage the testis or preserve normal function without the need for surgery.

Keywords: Decompression; Spermatic Cord Torsion; Ultrasonography, Doppler, Transcranial.

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Figures

Figure 1.
Figure 1.. A) The distribution of patients in different ages with TT and TAT. B) The number of patients with primary diagnoses within TT and TAT.
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