Evidence map›Paper›PMID 38985245›Full record

ArticleInternational urology and nephrology2024

Predictive factors for manual detorsion success in testicular torsion.

Metin Yığman, Berk Yasin Ekenci, Hüseyin Mert Durak, Ahmet Nihat Karakoyunlu

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in International urology and nephrology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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

7 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Manual Detorsion by Pediatric Emergency Physicians Shortens Ischemia Time in Pediatric Testicular Torsion.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2026
    Article
  5. Review
  6. Review
  7. 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.

Metin YığmanDepartment of Urology, Ankara Etlik Integrated Health Campus, Halil Sezai Erkut Street, Varlik, Etlik, Kecioren, 06170, Ankara, Turkey. m.yigman@hotmail.com.
Berk Yasin EkenciDepartment of Urology, Ankara Etlik Integrated Health Campus, Halil Sezai Erkut Street, Varlik, Etlik, Kecioren, 06170, Ankara, Turkey.
Hüseyin Mert DurakDepartment of Urology, Ankara Etlik Integrated Health Campus, Halil Sezai Erkut Street, Varlik, Etlik, Kecioren, 06170, Ankara, Turkey.
Ahmet Nihat KarakoyunluDepartment of Urology, Ankara Etlik Integrated Health Campus, Halil Sezai Erkut Street, Varlik, Etlik, Kecioren, 06170, Ankara, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn cases of testicular torsion (TT), prompt diagnosis and treatment are highly associated with organ salvage, and manual detorsion (MD) is a recommended maneuver as a first intervention. In our study, we aimed to investigate the effect of predictive factors of TT in predicting the success of MD.

methodsA retrospective, 2-center study was conducted on patients diagnosed with TT between January 2015 and 2024. Demographic, clinical, ultrasound, and laboratory characteristics at presentation were analyzed. MD was routinely performed as the first intervention in all patients. Predictive parameters were compared in the MD success and failure groups. Univariate and multiple logistic regression analysis was used to identify risk factors for MD failure.

resultsA total of 94 patients were included in the study. The median age of the patients was 20 (IQR: 12-69) years, and the median symptom duration was 6 (IQR: 4-12) hours. MD confirmed by Doppler ultrasonography was successful in 52 (55.3%) patients and unsuccessful in 42 (44.7%). Age, symptom duration, Testicular Workup for Ischemia and Suspected Torsion (TWIST) score, TWIST risk groups, WBC, neutrophil, monocyte counts, and Monocyte/Eosinophil ratio (MER) were statistically different between the two groups. In multiple logistic regression analysis, the risk factors for failure of MD were found to be being over 18 years of age, the duration of symptoms being longer than 9 h, and MER > 28.

conclusionCurrent urology guidelines suggest that age, symptom duration, and MER are reliable predictors of the success of MD, which is recommended in all cases of TT.

Indexed as

Spermatic Cord TorsionAdolescentAdultAgedChildHumansMaleMiddle AgedRetrospective StudiesRisk FactorsTreatment OutcomeYoung AdultAcute scrotumInflammatory blood biomarkersManual detorsionTesticular torsion

Identifiers

PMID38985245

What OpenQuestion holds

Textmetadata
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.