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Long-term follow-up results of testicular torsion in children

A retrospective cohort study was conducted at the Children’s Hospital of Chongqing Medical University from November 2004 to December 2020 to investigate the long-term follow-up results after testicular torsion (TT) in children. Boys with TT were divided into the salvage orchiopexy group and the orch...

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Autores principales: Yu, Cheng-Jun, Zhao, Jie, Luo, Jin, Hong, Yi-Fan, Zhao, Tian-Xin, Wen, Sheng, Jiang, Li, Lin, Tao, He, Da-Wei, Wei, Guang-Hui, Wu, Sheng-De
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9809487/
https://www.ncbi.nlm.nih.gov/pubmed/35259784
http://dx.doi.org/10.4103/aja2021127
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author Yu, Cheng-Jun
Zhao, Jie
Luo, Jin
Hong, Yi-Fan
Zhao, Tian-Xin
Wen, Sheng
Jiang, Li
Lin, Tao
He, Da-Wei
Wei, Guang-Hui
Wu, Sheng-De
author_facet Yu, Cheng-Jun
Zhao, Jie
Luo, Jin
Hong, Yi-Fan
Zhao, Tian-Xin
Wen, Sheng
Jiang, Li
Lin, Tao
He, Da-Wei
Wei, Guang-Hui
Wu, Sheng-De
author_sort Yu, Cheng-Jun
collection PubMed
description A retrospective cohort study was conducted at the Children’s Hospital of Chongqing Medical University from November 2004 to December 2020 to investigate the long-term follow-up results after testicular torsion (TT) in children. Boys with TT were divided into the salvage orchiopexy group and the orchiectomy group, and the baseline characteristics, ultrasonographic indications, intraoperative findings, testicular volumes, and adverse events during follow-up were compared. A total of 145 cases were included in this study. Approximately 56.6% of patients who underwent salvage orchiopexy had testicular atrophy (TA), and the median testicular volume loss of the testes was 57.4%. Age less than 6 years, delayed surgery, and intraoperative poor blood supply were associated with TA in pediatric TT after orchiopexy. Most atrophied testes appeared within 3–6 months after surgery. Compared with the corresponding age-matched healthy controls, the contralateral testicular volumes were larger in the orchiopexy (P = 0.001 without TA, and P = 0.042 with TA) and orchiectomy groups (P = 0.033). The adverse events were comparable in patients with orchiectomy or orchiopexy. In summary, follow-up before 3 months after surgery may not offer sufficient clinical value, while that 3 months after surgery should be regarded as the first follow-up time for testicular monitoring. The contralateral testes of patients with TT showed compensatory hypertrophy. We suggest performing orchiectomy when torsed testes are surgically assessed as Arda grade III or inviable.
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spelling pubmed-98094872023-01-04 Long-term follow-up results of testicular torsion in children Yu, Cheng-Jun Zhao, Jie Luo, Jin Hong, Yi-Fan Zhao, Tian-Xin Wen, Sheng Jiang, Li Lin, Tao He, Da-Wei Wei, Guang-Hui Wu, Sheng-De Asian J Androl Original Article A retrospective cohort study was conducted at the Children’s Hospital of Chongqing Medical University from November 2004 to December 2020 to investigate the long-term follow-up results after testicular torsion (TT) in children. Boys with TT were divided into the salvage orchiopexy group and the orchiectomy group, and the baseline characteristics, ultrasonographic indications, intraoperative findings, testicular volumes, and adverse events during follow-up were compared. A total of 145 cases were included in this study. Approximately 56.6% of patients who underwent salvage orchiopexy had testicular atrophy (TA), and the median testicular volume loss of the testes was 57.4%. Age less than 6 years, delayed surgery, and intraoperative poor blood supply were associated with TA in pediatric TT after orchiopexy. Most atrophied testes appeared within 3–6 months after surgery. Compared with the corresponding age-matched healthy controls, the contralateral testicular volumes were larger in the orchiopexy (P = 0.001 without TA, and P = 0.042 with TA) and orchiectomy groups (P = 0.033). The adverse events were comparable in patients with orchiectomy or orchiopexy. In summary, follow-up before 3 months after surgery may not offer sufficient clinical value, while that 3 months after surgery should be regarded as the first follow-up time for testicular monitoring. The contralateral testes of patients with TT showed compensatory hypertrophy. We suggest performing orchiectomy when torsed testes are surgically assessed as Arda grade III or inviable. Wolters Kluwer - Medknow 2022-03-04 /pmc/articles/PMC9809487/ /pubmed/35259784 http://dx.doi.org/10.4103/aja2021127 Text en Copyright: ©The Author(s)(2022) 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
Yu, Cheng-Jun
Zhao, Jie
Luo, Jin
Hong, Yi-Fan
Zhao, Tian-Xin
Wen, Sheng
Jiang, Li
Lin, Tao
He, Da-Wei
Wei, Guang-Hui
Wu, Sheng-De
Long-term follow-up results of testicular torsion in children
title Long-term follow-up results of testicular torsion in children
title_full Long-term follow-up results of testicular torsion in children
title_fullStr Long-term follow-up results of testicular torsion in children
title_full_unstemmed Long-term follow-up results of testicular torsion in children
title_short Long-term follow-up results of testicular torsion in children
title_sort long-term follow-up results of testicular torsion in children
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9809487/
https://www.ncbi.nlm.nih.gov/pubmed/35259784
http://dx.doi.org/10.4103/aja2021127
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