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SHR Neuro Krebs Kardio Lipid

Saxena, A; Castellani, C; Ruttenstock, E; Höllwarth, M.
Testicular torsion: a 15-year single-centre clinical and histological analysis.
Acta Paediatr. 2012; 101(7):e282-e286
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Autor/innen der Med Uni Graz:
Castellani Christoph
Höllwarth Michael
Ruttenstock Elke Maria
Saxena Amulya Kumar
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Abstract:
Aim: This study reviewed the demographic, epidemiological and clinical factors of boys seen at a single centre who underwent surgical exploration for testicular torsion. Methods: Retrospective single-centre review of boys with testicular torsion between 1996 and 2011 was made. Results: Testicular torsion (right n = 43, left n = 60, bilateral n = 1) was identified in 104 boys between 0 and 18 years. Ten newborns presented with 11 intrauterine torsions. Nine torsions presented in undescended inguinal testes (one intrauterine). In 94 boys with descended testes, presentation included pain (76%), scrotal swelling (65%) and abdominal symptoms (22%). Ultrasonography was performed in 85 patients with false-negative results in 4 (4.7%). Orchiectomy was performed during initial exploration in 41, with significantly higher rates of orchiectomies in patients with late (>6 h) versus patients with early referrals (<6 h) (56% vs. 9.1%). Histological evaluation was carried out in 68 testes, with 43 resected testes demonstrating haemorrhagic necrosis. In 25 biopsied testes, histology revealed acute parenchymal bleeding (n = 14), onset of parenchymal infarction (n = 8), orchitis (n = 1) and normal tissue (n = 2). Eighty-two patients were followed up with pathological findings in four patients: testicular atrophies requiring orchiectomy (n = 2), testicular autolysis (n = 1) and small testicular vein thrombosis (n = 1). Conclusion: Chances of testicular salvage after torsion are higher if patients present early. The majority of patients presenting late (>6 h) require orchiectomy owing to testicular necrosis.
Find related publications in this database (using NLM MeSH Indexing)
Adolescent -
Age Factors -
Age Factors - epidemiology
Child -
Child, Preschool -
Follow-Up Studies -
Humans -
Infant -
Infant, Newborn -
Male -
Necrosis -
Orchiectomy -
Prognosis -
Retrospective Studies -
Spermatic Cord Torsion - diagnosis Spermatic Cord Torsion - epidemiology Spermatic Cord Torsion - surgery
Testis - pathology
Ultrasonography, Doppler -

Find related publications in this database (Keywords)
Children
Histology
Newborns
Outcomes
Testicular torsion
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