ArticleBJU international2022
A BURST-BAUS consensus document for best practice in the conduct of scrotal exploration for suspected testicular torsion: the Finding consensus for orchIdopeXy In Torsion (FIX-IT) study.
Article in BJU international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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.
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.
Who cites it
11 citing papers in PubMed.
- Dartos pouch orchiopexy for adult testicular torsion and symptomatic retractile testis: Technique, early outcomes and critical appraisal of trans-tunical suture fixation.BJUI compass · 2026Article
- Recurrent Testicular Torsion After Prior Surgical Fixation: A Two-Case Series and Technical Insight into Orchidopexy Failure.Journal of clinical medicine · 2026Article
- A porcineTranslational andrology and urology · 2026Article
- Article
- The Application of a Combined Online and Offline Health Intervention Model for Assessing Parents' KAP About Testicular Torsion: A Self-Controlled Study.Nursing open · 2025Article
- A national survey of practice for the emergency fixation of testis.Annals of the Royal College of Surgeons of England · 2025Article
- Bilateral orchidopexy for intermittent testicular torsion.BJUI compass · 2024Article
- The management of testicular torsion: A survey of Turkish pediatric surgeons and pediatric urologists.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2024Article
- Emergency surgery preoperative delays: realities, economic impacts and gains of a second emergency operating theatre.Annals of the Royal College of Surgeons of England · 2024Article
- The impact of health care on outcomes of suspected testicular torsion: results from the GRAND study.World journal of urology · 2024Article
- Mapping trends and hotspot regarding testicular torsion: A bibliometric analysis of global research (2000-2022).Frontiers in pediatrics · 2023Article
Corrections and comments
- Commented on by
Authors and funding
25 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo produce a best practice consensus guideline for the conduct of scrotal exploration for suspected testicular torsion using formal consensus methodology. MATERIALS AND
methodsA panel of 16 expert urologists, representing adult, paediatric, general, and andrological urology used the RAND/UCLA Appropriateness Consensus Methodology to score a 184 statement pre-meeting questionnaire on the conduct of scrotal exploration for suspected testicular torsion. The collated responses were presented at a face-to-face online meeting and each item was rescored anonymously after a group discussion, facilitated by an independent chair with expertise in consensus methodology. Items were scored for agreement and consensus and the items scored with consensus were used to derive a set of best practice guidelines.
resultsStatements scored as with consensus increased from Round 1 (122/184, 66.3%) to Round 2 (149/200, 74.5%). Recommendations were generated in ten categories: consent, assessment under anaesthetic, initial incision, intraoperative decision making, fixation, medical photography, closure, operation note, logistics and follow-up after scrotal exploration. Our statements assume that the decision to operate has already been made. Key recommendations in the consent process included the discussion of the possibility of orchidectomy and the possibility of subsequent infection of the affected testis or wound requiring antibiotic therapy. If after the examination under anaesthesia, the index of suspicion of testicular torsion is lower than previously thought, then the surgeon should still proceed to scrotal exploration as planned. A flow chart guiding decision making dependent on intraoperative findings has been designed. If no torsion is present on exploration and the bell clapper deformity is absent, the testis should not be fixed. When fixing a testis using sutures, 3 or 4-point is acceptable and non-absorbable sutures are preferred.
conclusionsWe have produced consensus recommendations to inform best practice in the conduct of scrotal exploration for suspected testicular torsion.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.