Duration of symptoms is the only predictor of testicular salvage following testicular torsion in children: A case-control study
<h3>Objective</h3><p dir="ltr">Testicular torsion (TT) is an emergency requiring a prompt diagnosis and surgery to avoid irreversible changes and a complete loss of testis. The present study aimed to identify potential factors that may be predict a testicular salvage afte...
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| مؤلفون آخرون: | , , , , |
| منشور في: |
2021
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| _version_ | 1864513561821184000 |
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| author | Zlatan Zvizdic (9212371) |
| author2 | Amila Aganovic (16936893) Emir Milisic (9212377) Asmir Jonuzi (9212380) Denisa Zvizdic (16936896) Semir Vranic (3353012) |
| author2_role | author author author author author |
| author_facet | Zlatan Zvizdic (9212371) Amila Aganovic (16936893) Emir Milisic (9212377) Asmir Jonuzi (9212380) Denisa Zvizdic (16936896) Semir Vranic (3353012) |
| author_role | author |
| dc.creator.none.fl_str_mv | Zlatan Zvizdic (9212371) Amila Aganovic (16936893) Emir Milisic (9212377) Asmir Jonuzi (9212380) Denisa Zvizdic (16936896) Semir Vranic (3353012) |
| dc.date.none.fl_str_mv | 2021-03-01T00:00:00Z |
| dc.identifier.none.fl_str_mv | 10.1016/j.ajem.2020.11.023 |
| dc.relation.none.fl_str_mv | https://figshare.com/articles/journal_contribution/Duration_of_symptoms_is_the_only_predictor_of_testicular_salvage_following_testicular_torsion_in_children_A_case-control_study/24087612 |
| dc.rights.none.fl_str_mv | CC BY 4.0 info:eu-repo/semantics/openAccess |
| dc.subject.none.fl_str_mv | Biomedical and clinical sciences Clinical sciences Paediatrics Testicular salvage Testicular torsion Predictive factors Children |
| dc.title.none.fl_str_mv | Duration of symptoms is the only predictor of testicular salvage following testicular torsion in children: A case-control study |
| dc.type.none.fl_str_mv | Text Journal contribution info:eu-repo/semantics/publishedVersion text contribution to journal |
| description | <h3>Objective</h3><p dir="ltr">Testicular torsion (TT) is an emergency requiring a prompt diagnosis and surgery to avoid irreversible changes and a complete loss of testis. The present study aimed to identify potential factors that may be predict a testicular salvage after TT in pediatric patients.</p><h3>Methods</h3><p dir="ltr">Consecutive medical records of all children ≤16 years old with surgically confirmed TT over a period of five years (2011–2016) were collected. Patients were divided into 2 groups according to testicular viability and the type of treatment: Orchidectomy and orchidopexy. The differences between the two groups and potential predictors of testicular salvage were analyzed.</p><h3>Results</h3><p dir="ltr">Thirty-one boys with TT met the inclusion criteria and were included in the study. The mean age was 13.6 years (range, 10 days - 15.8 years). Testicular salvage was possible in 18 (58.1%) patients. The duration of symptoms and a lesser degree of torsion indicated a testicular salvage in children and adolescents with testicular torsion, but in multivariate analysis only duration of symptoms (time to surgical detorsion) was significantly associated with the risk of non-salvage. At follow-up, testicular atrophy affected 73.3% of the patients treated with orchidopexy.</p><h3>Conclusion</h3><p dir="ltr">Duration of symptoms is the only predictor of successful testicular salvage following testicular torsion in children. It is associated with a substantial risk of testicular loss and atrophy.</p><h2>Other Information</h2><p dir="ltr">Published in: The American Journal of Emergency Medicine<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.ajem.2020.11.023" target="_blank">https://dx.doi.org/10.1016/j.ajem.2020.11.023</a></p> |
| eu_rights_str_mv | openAccess |
| id | Manara2_0b5fe088ebff5565a38fa027ab71cd7c |
| identifier_str_mv | 10.1016/j.ajem.2020.11.023 |
| network_acronym_str | Manara2 |
| network_name_str | Manara2 |
| oai_identifier_str | oai:figshare.com:article/24087612 |
| publishDate | 2021 |
| repository.mail.fl_str_mv | |
| repository.name.fl_str_mv | |
| repository_id_str | |
| rights_invalid_str_mv | CC BY 4.0 |
| spelling | Duration of symptoms is the only predictor of testicular salvage following testicular torsion in children: A case-control studyZlatan Zvizdic (9212371)Amila Aganovic (16936893)Emir Milisic (9212377)Asmir Jonuzi (9212380)Denisa Zvizdic (16936896)Semir Vranic (3353012)Biomedical and clinical sciencesClinical sciencesPaediatricsTesticular salvageTesticular torsionPredictive factorsChildren<h3>Objective</h3><p dir="ltr">Testicular torsion (TT) is an emergency requiring a prompt diagnosis and surgery to avoid irreversible changes and a complete loss of testis. The present study aimed to identify potential factors that may be predict a testicular salvage after TT in pediatric patients.</p><h3>Methods</h3><p dir="ltr">Consecutive medical records of all children ≤16 years old with surgically confirmed TT over a period of five years (2011–2016) were collected. Patients were divided into 2 groups according to testicular viability and the type of treatment: Orchidectomy and orchidopexy. The differences between the two groups and potential predictors of testicular salvage were analyzed.</p><h3>Results</h3><p dir="ltr">Thirty-one boys with TT met the inclusion criteria and were included in the study. The mean age was 13.6 years (range, 10 days - 15.8 years). Testicular salvage was possible in 18 (58.1%) patients. The duration of symptoms and a lesser degree of torsion indicated a testicular salvage in children and adolescents with testicular torsion, but in multivariate analysis only duration of symptoms (time to surgical detorsion) was significantly associated with the risk of non-salvage. At follow-up, testicular atrophy affected 73.3% of the patients treated with orchidopexy.</p><h3>Conclusion</h3><p dir="ltr">Duration of symptoms is the only predictor of successful testicular salvage following testicular torsion in children. It is associated with a substantial risk of testicular loss and atrophy.</p><h2>Other Information</h2><p dir="ltr">Published in: The American Journal of Emergency Medicine<br>License: <a href="http://creativecommons.org/licenses/by/4.0/" target="_blank">http://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.1016/j.ajem.2020.11.023" target="_blank">https://dx.doi.org/10.1016/j.ajem.2020.11.023</a></p>2021-03-01T00:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1016/j.ajem.2020.11.023https://figshare.com/articles/journal_contribution/Duration_of_symptoms_is_the_only_predictor_of_testicular_salvage_following_testicular_torsion_in_children_A_case-control_study/24087612CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/240876122021-03-01T00:00:00Z |
| spellingShingle | Duration of symptoms is the only predictor of testicular salvage following testicular torsion in children: A case-control study Zlatan Zvizdic (9212371) Biomedical and clinical sciences Clinical sciences Paediatrics Testicular salvage Testicular torsion Predictive factors Children |
| status_str | publishedVersion |
| title | Duration of symptoms is the only predictor of testicular salvage following testicular torsion in children: A case-control study |
| title_full | Duration of symptoms is the only predictor of testicular salvage following testicular torsion in children: A case-control study |
| title_fullStr | Duration of symptoms is the only predictor of testicular salvage following testicular torsion in children: A case-control study |
| title_full_unstemmed | Duration of symptoms is the only predictor of testicular salvage following testicular torsion in children: A case-control study |
| title_short | Duration of symptoms is the only predictor of testicular salvage following testicular torsion in children: A case-control study |
| title_sort | Duration of symptoms is the only predictor of testicular salvage following testicular torsion in children: A case-control study |
| topic | Biomedical and clinical sciences Clinical sciences Paediatrics Testicular salvage Testicular torsion Predictive factors Children |