ArticleCureus2025
Higher Orchiectomy Rates in Pre-pubescent Testicular Torsion: A Call for Earlier Recognition and Heightened Awareness.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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Who cites it
1 citing paper in PubMed.
- Is It Too Late? Machine Learning for Predicting Orchiectomy Versus Testicular Preservation in Acute Torsion.Diagnostics (Basel, Switzerland) · 2026Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTesticular torsion (TT) is a pediatric emergency that requires a prompt diagnosis and surgical intervention to increase the likelihood of testicular salvage. Pre-pubescent males have a heightened risk of undergoing an orchiectomy compared to post-pubescent males with TT. We sought to identify specific factors characteristic of pre-pubescent males compared to post-pubescent males. MATERIALS AND
methodsThis retrospective analysis of a pediatric TT dataset over a 10-year period (January 1, 2015, to December 31, 2024) was conducted at a pediatric acute care children's hospital in a metropolitan community. Males ages 1-20 years with TT were divided into two age groups: the pre-pubescent group ages 1-12 years and the post-pubescent group ages 13-20 years.
resultsA total of 286 patients were diagnosed with TT, including 208 (73%) post-pubescent males and 78 (27%) pre-pubescent males. There was a significant association between the pre- and post-pubescent patients and duration of TT symptoms (p=0.03). Of the 193 patients whose symptom duration was <24 hours, 148 (77%) were pre-pubescent compared to 45 (23%) who were post-pubescent. There was also a significant association between the two age groups and the type of surgery (p =0.001). The prevalence of orchiectomy in the younger group was 46.2% compared to 26.4% in the older group. Post-pubescent males had a 59% lower odds of undergoing an orchiectomy compared to pre-pubescent patients. The younger boys were 2.4 times more likely to have an orchiectomy compared to older boys.
conclusionsAmong children treated for TT, pre-pubescent males are at a higher risk for orchiectomy than post-pubescent males. Higher levels of awareness, as well as prompt evaluation and surgical exploration, are needed to increase the rates of salvageable testes.
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