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Cryptorchid testicular torsion in children: characteristics and treatment outcomes

This study aimed to review and compare the characteristics and treatment outcomes of cryptorchid testicular torsion in pre- and postpubertal children. We reviewed the clinical data of 22 patients with testicular torsion complicated by cryptorchidism who were treated between January 2010 and December...

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Autores principales: Zhong, Hai-Jun, Tang, Liang-Feng, Bi, Yun-Li
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8451487/
https://www.ncbi.nlm.nih.gov/pubmed/33723095
http://dx.doi.org/10.4103/aja.aja_10_21
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author Zhong, Hai-Jun
Tang, Liang-Feng
Bi, Yun-Li
author_facet Zhong, Hai-Jun
Tang, Liang-Feng
Bi, Yun-Li
author_sort Zhong, Hai-Jun
collection PubMed
description This study aimed to review and compare the characteristics and treatment outcomes of cryptorchid testicular torsion in pre- and postpubertal children. We reviewed the clinical data of 22 patients with testicular torsion complicated by cryptorchidism who were treated between January 2010 and December 2019. Patients were categorized into prepubertal (1 month to 9 years; n = 12) and postpubertal groups (10–16 years; n = 10). The age at presentation, clinical presentations, physical examination, and operation outcomes were assessed. The common clinical presentations in both groups were inguinal pain and a tender inguinal mass. Patients in the prepubertal group were significantly more likely to present with restlessness (33.3%) than those in the postpubertal group (0%; P = 0.044). After detorsion, testicular blood flow recovered during surgery in 25.0% of the prepubertal and 80.0% of the postpubertal patients (P = 0.010). Orchiectomy was required in 50.0% of the prepubertal and 20.0% of the postpubertal patients (P = 0.145). Of the 22 patients with follow-up data, the rates of testicular salvage were significantly different, at 16.7% in the prepubertal patients and 60.0% in the postpubertal patients (P = 0.035). Cryptorchid testicular torsion has various manifestations. Although an empty hemiscrotum and a painful groin mass were common in both groups, restlessness was more prevalent in the prepubertal patients during early testicular torsion onset than that in the postpubertal patients. Notably, the testicular salvage rate was significantly lower in the prepubertal patients than that in the postpubertal patients.
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spelling pubmed-84514872021-10-18 Cryptorchid testicular torsion in children: characteristics and treatment outcomes Zhong, Hai-Jun Tang, Liang-Feng Bi, Yun-Li Asian J Androl Original Article This study aimed to review and compare the characteristics and treatment outcomes of cryptorchid testicular torsion in pre- and postpubertal children. We reviewed the clinical data of 22 patients with testicular torsion complicated by cryptorchidism who were treated between January 2010 and December 2019. Patients were categorized into prepubertal (1 month to 9 years; n = 12) and postpubertal groups (10–16 years; n = 10). The age at presentation, clinical presentations, physical examination, and operation outcomes were assessed. The common clinical presentations in both groups were inguinal pain and a tender inguinal mass. Patients in the prepubertal group were significantly more likely to present with restlessness (33.3%) than those in the postpubertal group (0%; P = 0.044). After detorsion, testicular blood flow recovered during surgery in 25.0% of the prepubertal and 80.0% of the postpubertal patients (P = 0.010). Orchiectomy was required in 50.0% of the prepubertal and 20.0% of the postpubertal patients (P = 0.145). Of the 22 patients with follow-up data, the rates of testicular salvage were significantly different, at 16.7% in the prepubertal patients and 60.0% in the postpubertal patients (P = 0.035). Cryptorchid testicular torsion has various manifestations. Although an empty hemiscrotum and a painful groin mass were common in both groups, restlessness was more prevalent in the prepubertal patients during early testicular torsion onset than that in the postpubertal patients. Notably, the testicular salvage rate was significantly lower in the prepubertal patients than that in the postpubertal patients. Wolters Kluwer - Medknow 2021-03-12 /pmc/articles/PMC8451487/ /pubmed/33723095 http://dx.doi.org/10.4103/aja.aja_10_21 Text en Copyright: ©The Author(s)(2021) https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Zhong, Hai-Jun
Tang, Liang-Feng
Bi, Yun-Li
Cryptorchid testicular torsion in children: characteristics and treatment outcomes
title Cryptorchid testicular torsion in children: characteristics and treatment outcomes
title_full Cryptorchid testicular torsion in children: characteristics and treatment outcomes
title_fullStr Cryptorchid testicular torsion in children: characteristics and treatment outcomes
title_full_unstemmed Cryptorchid testicular torsion in children: characteristics and treatment outcomes
title_short Cryptorchid testicular torsion in children: characteristics and treatment outcomes
title_sort cryptorchid testicular torsion in children: characteristics and treatment outcomes
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8451487/
https://www.ncbi.nlm.nih.gov/pubmed/33723095
http://dx.doi.org/10.4103/aja.aja_10_21
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