ArticleMedical principles and practice : international journal of the Kuwait University, Health Science Centre2017
Intermittent Testicular Torsion in Adults: An Overlooked Clinical Condition.
Article in Medical principles and practice : international journal of the Kuwait University, Health Science Centre, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Bilateral orchidopexy for intermittent testicular torsion.BJUI compass · 2024Article
- Importance of Touch: Managing Testicular Torsion in a 28-Year-Old With Duchenne Muscular Dystrophy.Cureus · 2022Article
- The Spectrum of Testicular Pathologies Upon Scrotal Exploration for Acute Scrotum: A Retrospective Analysis.Cureus · 2020Article
- The split sign: The MRI equivalent of the bell clapper deformity.The British journal of radiology · 2019Article
- A 26-Year-Old Male with a 14-Year History of Left Intermittent Testicular Torsion Treated with Self-Manual Reduction.Current urology · 2018Article
- Chronic scrotal pain and microsurgical spermatic cord denervation: tricks of the trade.Translational andrology and urology · 2017Review
- Establishment and internal validation of preoperative nomograms for predicting the possibility of testicular salvage in patients with testicular torsion.Asian journal of andrologyArticle
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe aim of this study was to describe the management protocol for intermittent testicular torsion (ITT) in adults and report the outcome of this clinical condition, which is commonly overlooked in adults. SUBJECTS AND
methodsSixty-three patients were included in the study. The inclusion criterion was the presence of sudden intermittent testicular pain over a duration of 3 months. All the patients underwent clinical examination, urine analysis, culture, and scrotal ultrasound with Doppler. The testicle was in an abnormal or in transverse lie and/or could easily be twisted. Scrotal support and analgesia were given for 1 month, then patients were offered orchidopexy or conservative treatment. Nineteen patients chose orchidopexy while 44 chose conservative treatment. Follow-up ranged from 3 months to 2 years. The improvement was assessed using a visual analog pain score. The outcome of the treatment was compared between the surgical and conservative groups using a χ2 test.
resultsThe median age of the patients was 28 years (range: 17-50). Of the 19 patients who underwent orchidopexy, the pain resolved or visual analog pain scores improved (median 1/10) in 18 (94.7%) cases. On the other hand, 21 of the 44 (47.7%) cases that chose the conservative approach claimed their pain resolved or improved (visual analog pain scores: median 3/10) with a median of 13 months of follow-up.
conclusionIn this study, scrotal orchidopexy proved to be superior to conservative measures in cases of ITT in adults.
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