Evidence map›Paper›PMID 27619663›Full record

ArticleInternational braz j urol : official journal of the Brazilian Society of Urology

The Amount of spermatic cord rotation magnifies the timerelated orchidectomy risk in intravaginal testicular torsion.

Aderivaldo Cabral Dias, João Ricardo Alves, Hélio Buson, Paulo Gonçalves de Oliveira

Open access · diamondAbstract read
In one paragraph

Article in International braz j urol : official journal of the Brazilian Society of Urology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.9field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 28 citations in OpenAlex.

  1. Computed Tomographic Features of Intra-Abdominal Testicular Torsion in Cryptorchid Dogs.Veterinary radiology & ultrasound : the official journal of the American College of Veterinary Radiology and the International Veterinary Radiology Association · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Long time follow-up for patients with testicular torsion: new findings.American journal of clinical and experimental urology · 2024
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Aderivaldo Cabral DiasServiço de Urologia, Hospital de Base do Distrito Federal, Brasília, DF, Brasil.
João Ricardo AlvesServiço de Urologia, Hospital de Base do Distrito Federal, Brasília, DF, Brasil.
Hélio BusonServiço de Cirúrgica Pediátrica do Hospital de Base do Distrito Federal, Brasília, DF, Brasil.
Paulo Gonçalves de OliveiraDepartamento de Cirurgia da Faculdade de Ciências Médicas da Universidade de Brasília, Brasília, DF, Brasil.
Hospital de Base · BRUniversidade de Brasília · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the roles of age, testicular rotation and time in the surgical outcome of intravaginal testicular torsion (iTT). PATIENTS AND

methodsWe retrieved the records of all iTT patients treated in our unit from January 2012 to January 2014. Explanatory variables were: age (years); presentation delay (PrD, time between symptoms and hospitalization); surgical delay (SurgD, time between hospitalization and surgery) and testicular rotation (rotation), with surgical outcome (orchidopexy, orchidectomy) as response variable. Differences in PrD, SurgD, age and rotation by surgical outcome were evaluated non-parametrically. Stepdown logistic regression included age, PrD, SurgD and rotation as predictors. Statistical significance and confidence intervals (CI) were set at p<0.05 and 0.95. Odds ratios (OR) were computed from the model's coefficients.

resultsComplete variable information was available for 117 patients, and most (61, 52.1%) underwent orchidectomy. Ages were similar between orchidectomy and orchidopexy patients (median 15.8 vs. 16.0 years, p=0.78). In contrast, PrD (85.0 vs. 8.4 hours, p<0.001), SurgD (3.0 vs. 16.0 hours, p<0.001) were different between orchidectomy and orchidopexy patients. SurgD was similar with PrD<24 hours (4.0 vs. 2.8, p=0.1). Orchidectomy patients had greater rotation (3.0π vs. 2.0π radians, p<0.001). Logistic regression revealed that PrD (OR 0.94; 0.92-0.97; p<0.001) and rotation (OR 0.43; 0.27-0.70; p<0.001) were inversely associated with orchidopexy.

conclusionTesticular rotation exerts a multiplicative effect on PrD, so time should not be regarded as the sole predictor of surgical outcome in iTT.

Indexed as

AdolescentChildHumansMaleOrchiectomyPrognosisSpermatic Cord TorsionStatistics, NonparametricTestisTime FactorsTreatment OutcomeIschemiaSpermatic Cord TorsionTestis

Identifiers

PMID27619663
PMCPMC5117979
OpenAlexW2530488399

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.