ArticleAnnals of the Royal College of Surgeons of England2019
Does the source of referral affect outcomes for paediatric testicular torsion?
Article in Annals of the Royal College of Surgeons of England, 2019. 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, 23 citations in OpenAlex.
- A national survey of practice for the emergency fixation of testis.Annals of the Royal College of Surgeons of England · 2025Article
- Article
- Manual reduction in testicular torsion and subsequent treatment after successful reduction: a series of reports in a single institution.Frontiers in pediatrics · 2024Article
- Testicular torsion in Ireland: a 10-year analysis of incidence and risk of orchidectomy.Irish journal of medical science · 2022Article
- Comparing the surgical management of acute paediatric scrotal pain between adult urologists and general surgeons in the UK: an observational study.Annals of the Royal College of Surgeons of England · 2022Observational
- Predictive factors for orchiectomy in adult's spermatic cord torsion: a case-control study.Basic and clinical andrology · 2021Article
- Adjuvant pharmacological and surgical therapy for testicular torsion: Current state of the art.Journal of pediatric urology · 2020Review
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThis single centre study retrospectively analysed the intraoperative findings relative to source of referral for emergency scrotal explorations performed in a tertiary level paediatric surgery department.
methodsAll patients who underwent emergency scrotal exploration under the care of paediatric surgeons in our unit between April 2008 and April 2016 were identified. Clinical data were obtained from contemporaneous records.
resultsOver the 8-year study period, 662 boys underwent emergency scrotal exploration: 6 (1%) were internal referrals, 294 (44%) attended our emergency department (ED) directly, 271 (41%) were referred from primary care and 91 (14%) were transferred from other hospitals. Excluding procedures in neonates, testicular torsion was present in 100 cases (15%). Testicular detorsion with bilateral 3-point testicular fixation was performed in 66 (66%) and orchidectomy with contralateral fixation in 34 (34%) where the torted testis was non-viable intraoperatively. The orchidectomy rate in the presence of torsion was 23% in ED referrals (12/52), 43% in primary care referrals (12/28) and 50% for transfers (10/20). The difference in rates between ED referrals and patients transferred from other hospitals was significant (
conclusionsBoys undergoing emergency scrotal exploration had a higher orchidectomy rate when transferred from other hospitals to our unit. This difference was statistically significant when compared with boys presenting directly to our ED. This supports advice from The Royal College of Surgeons of England for undertaking paediatric scrotal explorations in the presenting hospital when safe to do so rather than delaying the care of these patients by transferring them to a tertiary paediatric surgical unit.
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