2010, Number 1
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Rev Mex Urol 2010; 70 (1)
Orchiectomy for acute testicular torsion
Baeza-Herrera C, Martínez-Rivera ML, Cortés-García R, García-Cabello LM, López-Castellanos J
Language: Spanish
References: 25
Page: 36-40
PDF size: 413.40 Kb.
ABSTRACT
Introduction: Testicular torsion is a potentially disastrous condition if it is not corrected within a reasonably short period of time. The strategy that prevents gonadal loss is immediate exploration of the affected inguinal canal.
Materials and methods: A retrospective study of case records from the years 2004-2008 of children with testicular torsion is presented.
Results: From a total of 46 cases, 27 cases were children between 8 and 12 years of age. Only 4 children had a progression of 12 hours or less and there was intravaginal torsion in 43 cases. The left side was affected in 32 patients and out of the total of 46 patients, 43 patients required orchiectomy. Chi-square test indicated there was no association between scrotal coloration and testicular damage.
Conclusions: Early diagnosis is the most important factor with respect to whether or not the gonad will need to be removed.
REFERENCES
Baeza CH, Jiménez NG, Atzin JLF, Godoy AHE. Manifestaciones inguinales del abdomen agudo. Cir Ciruj 2004;72:99-103.
Patriquin HB, Yazbek S, Trinh B, Jequier S, et al. Testicular torsion in infants and children: with Doppler sonography. Radiology 1993;188(3):781-5.
Chiang MC, Chen HW, Fu RH, et al. Clinical features of testicular torsion and epididymo-orchitis in infants younger than 3 months. J Pediatr Surg 2007;42(9):1574-77.
Dogra VS, Bhatt S, Rubens DJ. Sonographic evaluation of testicular torsion. Ultrasound Clin 2006;1:55-66.
Kutikov A, Casale P, White MA. Testicular compartment syndrome: a new approach to conceptualizing and managing testicular torsion. Urology 2008;72(4):786-9.
Salmasi HA, Beheshtian A, Payabvash S. Effect of morphine on ischemia-reperfusion injury: experimental study in testicular torsion rat model. Urology 2005;66(6):1338-42.
Haynes BE, Bessen HA, Haynes VE. The diagnosis of testicular torsion. JAMA 1983;249(18):2522-7.
Noske HD, Kraus SW, Altinkilic BM. Historical milestones regarding torsion of the scrotal organs. J Urol 1998;159(1):13-6.
Williams CR, Heaven KJ, Joseph DB. Testicular torsion is there a seasonal predilection for occurrence?. Urology 2003;61(3):638-41.
Sessions AE, Rabinowitz R, Hulbert WC. Testicular torsion: direction, degree, duration and disinformation. J Urol 2003;169(2):663-5.
White WM, Brewer ME, Kim ED. Segmental ischemia of testis secondary to intermittent testicular torsion. Urology 2006;68(3):670-1.
Ahmed SJ, Kaplan GW, DeCambre ME. Perinatal testicular torsion: preoperative radiological findings and the argument for urgent surgical exploration. J Pediatr Surg 2008;43(8):1563-5.
Stillwell JT, Kramer AS. Intermittent testicular torsion. Pediatrics 1986;77(6):908-11.
Olguner M, Akgür FM, Aktug T. Bilateral asynchronous perinatal testicular torsion: a case report. J Pediatr Surg 2000;35(9):1348-9.
Steinbrecher AH, Nalone SP. Testicular problems in children. Pediatr Child Health 2008;18:264-67.
Angell JC. Torsion of the testicle. A plea for diagnosis. Lancet 1963;1(7271):19-21.
Rabinowitz R. The importance of the cremasteric reflex in acute scrotal swelling in children. J Urol 198;132(1):89-90.
Ciftci AO, Senocak ME, Tanyel FC. Clinical predictors for differential diagnosis of acute scrotum. Eur J Pediatr Surg 2004;14:333-8.
Nelson CP, Williams JF, Bloom DA. The cremasteric reflex: a useful but imperfect sign in testicular torsion. J Pediatr Surg 2003;38(8):1248-9.
Baud C, Vayrac C, Couture A. Spiral twist of the spermatic cord a reliable sign of testicular torsion. Pediatr Radiol 1998;28(12):950-4.
Terai A, Yoshimura K, Ichioka K. Dynamic contrast-enhanced substraction magnetic resonance imaging in diagnostics of testicular torsion. Urology 2006;67(6):1278-82.
Baeza HC, García CL, Nájera GH. Necrosis testicular por torsión en niños. Perspectiva de un hospital de segundo nivel. Gac Med Mex 2003;139(4):347-52.
Betts JM, Norris M, Cromie WJ. Testicular detorsion using Doppler ultrasound monitoring. J Pediatr Surg 1983;18(5):607-9.
Schalamon J, Ainoedhofer H, Schleef J. Management of acute scrotum in children- the impact of Doppler ultrasound. J Pediatr Surg 2006;41(8):1377-80.
Puri P, Barton D, O´Donnell B. Prepuberal testicular torsion: subsequent fertility. J Pediatr Surg 1985;20(6):598-601.