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

Authors Information
Article Notes and Dates
To Cite : Yu Y, Zhang F, An Q, Wang L, Li C, et al. Scrotal Exploration for Testicular Torsion and Testicular Appendage Torsion: Emergency and Reality, Iran J Pediatr. 2015 ;25(1):-. doi: 10.5812/ijp.248.
Abstract
1. Background
2. Objectives
3. Patients and Methods
4. Results
5. Discussion
References
  • 1. Schutte B, Becker H, Vydra G. [Exocrine and endocrine testicular function following unilateral torsion--a retrospective clinical study of 36 patients]. Urologe A. 1986; 25(3): 142-6[PubMed]
  • 2. Makela E, Lahdes-Vasama T, Rajakorpi H, Wikstrom S. A 19-year review of paediatric patients with acute scrotum. Scand J Surg. 2007; 96(1): 62-6[PubMed]
  • 3. Halb C, Eschard C, Lefebvre F, Brunel D, Abely M, Bernard P. [Acute idiopathic scrotal oedema in young boys: A report of ten cases and a review of the literature]. Ann Dermatol Venereol. 2010; 137(12): 775-81[DOI][PubMed]
  • 4. Murphy FL, Fletcher L, Pease P. Early scrotal exploration in all cases is the investigation and intervention of choice in the acute paediatric scrotum. Pediatr Surg Int. 2006; 22(5): 413-6[DOI][PubMed]
  • 5. Mushtaq I, Fung M, Glasson MJ. Retrospective review of paediatric patients with acute scrotum. ANZ J Surg. 2003; 73(1-2): 55-8[PubMed]
  • 6. Khaleghnejad-Tabari A, Mirshermirani A, Rouzrokh M, Mahmudi M, Baghaiepour MR, Ghaffari P, Hatamian B, et al. Early exploration in the management of acute scrotum in children. Iran J Pediatr. 2010; 20(4): 466-70[PubMed]
  • 7. Cattolica EV, Karol JB, Rankin KN, Klein RS. High testicular salvage rate in torsion of the spermatic cord. J Urol. 1982; 128(1): 66-8[PubMed]
  • 8. Waldert M, Klatte T, Schmidbauer J, Remzi M, Lackner J, Marberger M. Color Doppler sonography reliably identifies testicular torsion in boys. Urology. 2010; 75(5): 1170-4[DOI][PubMed]
  • 9. Lewis AG, Bukowski TP, Jarvis PD, Wacksman J, Sheldon CA. Evaluation of acute scrotum in the emergency department. J Pediatr Surg. 1995; 30(2): 277-81[PubMed]
  • 10. Molokwu CN, Somani BK, Goodman CM. Outcomes of scrotal exploration for acute scrotal pain suspicious of testicular torsion: a consecutive case series of 173 patients. BJU Int. 2011; 107(6): 990-3[DOI][PubMed]
  • 11. Holland JM, Graham JB, Ignatoff JM. Conservative management of twisted testicular appendages. J Urol. 1981; 125(2): 213-4[PubMed]
  • 12. Sandor L, Gajda T, Aranyi V, Csizy I, Cserni T. [Role of ultrasonography in the urgent differential diagnosis of acute scrotum]. Orv Hetil. 2011; 152(23): 909-12[DOI][PubMed]
  • 13. Lam WW, Yap TL, Jacobsen AS, Teo HJ. Colour Doppler ultrasonography replacing surgical exploration for acute scrotum: myth or reality? Pediatr Radiol. 2005; 35(6): 597-600[DOI][PubMed]
  • 14. Burks DD, Markey BJ, Burkhard TK, Balsara ZN, Haluszka MM, Canning DA. Suspected testicular torsion and ischemia: evaluation with color Doppler sonography. Radiology. 1990; 175(3): 815-21[DOI][PubMed]
  • 15. Zini L, Mouton D, Leroy X, Valtille P, Villers A, Lemaitre L, Biserte J, et al. [Should scrotal ultrasound be discouraged in cases of suspected spermatic cord torsion?]. Prog Urol. 2003; 13(3): 440-4[PubMed]
  • 16. Liang T, Metcalfe P, Sevcik W, Noga M. Retrospective review of diagnosis and treatment in children presenting to the pediatric department with acute scrotum. AJR Am J Roentgenol. 2013; 200(5)-9[DOI][PubMed]
  • 17. Soccorso G, Ninan GK, Rajimwale A, Nour S. Acute scrotum: is scrotal exploration the best management? Eur J Pediatr Surg. 2010; 20(5): 312-5[DOI][PubMed]
  • 18. Baker LA, Sigman D, Mathews RI, Benson J, Docimo SG. An analysis of clinical outcomes using color doppler testicular ultrasound for testicular torsion. Pediatrics. 2000; 105(3 Pt 1): 604-7[PubMed]
  • 19. Kaye JD, Shapiro EY, Levitt SB, Friedman SC, Gitlin J, Freyle J, Palmer LS, et al. Parenchymal echo texture predicts testicular salvage after torsion: potential impact on the need for emergent exploration. J Urol. 2008; 180(4 Suppl): 1733-6[DOI][PubMed]
  • 20. Boettcher M, Bergholz R, Krebs TF, Wenke K, Aronson DC. Clinical predictors of testicular torsion in children. Urology. 2012; 79(3): 670-4[DOI][PubMed]
  • 21. Hsieh MH, Tan AG, Meng MV. Medical malpractice in American urology: 22-year national review of the impact of caps and implications for contemporary practice. J Urol. 2008; 179(5): 1944-9[DOI][PubMed]
  • 22. Mellick LB. Torsion of the testicle: it is time to stop tossing the dice. Pediatr Emerg Care. 2012; 28(1): 80-6[DOI][PubMed]
Creative Commons License Except where otherwise noted, this work is licensed under Creative Commons Attribution Non Commercial 4.0 International License .

Search Relations:

Author(s):

Article(s):

Create Citiaion Alert via Google Reader

Cited By:

Iranian Journal of Pediatrics accepts terms & conditions of:

International Committee of Medical Journal Editors (ICMJE) Citedby Linking DOI enabled Crossref iThenticate COPE Cross Check