ArticleTranslational andrology and urology2017
Degree of twisting and duration of symptoms are prognostic factors of testis salvage during episodes of testicular torsion.
Article in Translational andrology and urology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.
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Who cites it
40 citing papers in PubMed, 101 citations in OpenAlex.
- 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 · 2026Article
- Antioxidant Strategies in Testicular Ischemia-Reperfusion Injury-Translational Insights and Clinical Implications for Testicular Torsion Management.Antioxidants (Basel, Switzerland) · 2026Review
- Management of andrological disorders from childhood and adolescence to transition age: guidelines from the Italian Society of Andrology and Sexual Medicine (SIAMS) in collaboration with the Italian Society for Pediatric Endocrinology and Diabetology (SIEDP) - part-2.Journal of endocrinological investigation · 2026Article
- Generative Artificial Intelligence as a First Responder in Adolescent Testicular Torsion: A Case Report.Cureus · 2026Article
- Comparing subjective and objective sonographic heterogeneity in predicting long-term testicular non-viability in cases of testicular torsion.Singapore medical journal · 2026Article
- Clinical characteristics of testicular torsion in children and analysis of factors influencing testicular preservation.Translational pediatrics · 2026Article
- Clinical and laboratory predictors of testicular loss in pediatric torsion patients.Arab journal of urology · 2026Article
- Public awareness of testicular torsion is lacking in Edmonton.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2025Article
- Article
- Trends in the Management of Testicular Torsion: A Scoping Review of Delays and Outcomes.Cureus · 2025Review
- The Role of Neutrophil-to-Lymphocyte Ratio as a Predictor of Orchiectomy or Testicular Atrophy After Torsion in Children: A Multicentric Study.Journal of personalized medicine · 2025Article
- Hemorrhagic epididymal cyst mimicking testicular torsion: A case report.International journal of surgery case reports · 2025Article
- A nomogram for predicting risk factors of testicular salvage after testicular torsion in children.International journal of urology : official journal of the Japanese Urological Association · 2024Article
- Long time follow-up for patients with testicular torsion: new findings.American journal of clinical and experimental urology · 2024Article
- Point-of-care ultrasonography for the diagnosis and manual detorsion of testicular torsion.Journal of medical ultrasonics (2001) · 2024Review
- Article
- Functional histology of human scrotal wall layers and their overlooked relation with infertility: a narrative review.International journal of impotence research · 2023Review
- Testicular torsion diagnosis and injury assessment using photoacoustic oxygenation imaging.Photoacoustics · 2023Article
- Outcomes of Surgical Exploration of Acute Scrotal Pain Raising Suspicion of Testicular Torsion.Cureus · 2023Article
- Parents' Awareness and Knowledge of Testicular Torsion in the Western Region of Saudi Arabia.Cureus · 2023Article
Corrections and comments
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Authors and funding
10 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTesticular torsion is surgical emergency. Prompt diagnosis and treatment of testicular torsion is essential for testicular viability. At surgical exploration, the spermatic cord is seen twisted a variable number of times around its longitudinal axis. There is scant data regarding the degree of twisting and its association with testis outcomes. The purpose of our study is to explore how the degree of torsion factors into testicular outcome using follow-up data.
methodsWe retrospectively reviewed the records of adolescent males who presented with testicular torsion to our institution, looking at duration of pain symptoms, degree of torsion documented in the operative note, procedure performed (orchiopexy versus orchiectomy), and follow-up clinic data for whether testicular atrophy after orchiopexy was present. A non-salvageable testis was defined as orchiectomy or atrophy. Receiver operator characteristics (ROC), multivariate, and logistic regression analyses were performed to determine the probability of a non-salvageable torsed testis based on time and degree of twisting.
resultsEighty-one patients met our study criteria, with 55 testes deemed viable and 26 non-salvageable. We found a 25.7% atrophy rate after orchiopexy. Cut-off values of 8.5 h and 495 degrees of torsion would provide sensitivities of 73% and 53%, respectively, with specificity of 80% for both. Only duration and age were correlated with the risk of non-salvage on multivariate analysis. Logistic regression generated linear probability formulas of 4 + (3 ¡Á hours) and 7 + (0.05 ¡Á degrees) in calculating the probability of non-salvage with strong correlation.
conclusionsWe were able to derive separate formulas to determine the viability of the torsed testis based on symptom duration and degrees of twisting. Fifteen h of symptoms and 860 degrees of torsion gives testes a 50% salvage rate. Interestingly, we also found that about 1 out of every 4 testes undergoes atrophy after orchiopexy.
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