The Role of Demographic and Clinical Characteristics in Distinguishing Testicular Torsion from Torsion of the Appendix Testis: A Single-center Retrospective Study
The acute scrotum (AS) in the pediatric population is a medical emergency. AS is usually caused by testicular torsion (TT) and torsion of the appendix testis (TAT). The current study explored which demographic and clinical characteristics can help distinguish between TT and TAT. We analyzed all chil...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Karolinum Press
2023-09-01
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| Series: | Prague Medical Report |
| Online Access: | https://pmr.lf1.cuni.cz/124/3/0255/ |
| _version_ | 1797673358641332224 |
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| author | Zlatan Zvizdic Amila Aganovic Emir Milisic Asmir Jonuzi Denisa Zvizdic Semir Vranic |
| author_facet | Zlatan Zvizdic Amila Aganovic Emir Milisic Asmir Jonuzi Denisa Zvizdic Semir Vranic |
| author_sort | Zlatan Zvizdic |
| collection | DOAJ |
| description | The acute scrotum (AS) in the pediatric population is a medical emergency. AS is usually caused by testicular torsion (TT) and torsion of the appendix testis (TAT). The current study explored which demographic and clinical characteristics can help distinguish between TT and TAT. We analyzed all children ≤16 years who underwent surgical exploration for AS. The patients were divided into Group 1/TT and Group 2/TAT. Ninety patients were included in the study (24 with TT and 66 with TAT). The peak incidence of TT was significantly higher than in the TAT group (p<0.001). Scrotal pain was more prevalent in the TAT group (p=0.02), whereas systemic signs (nausea/vomiting and abdominal pain) affected more frequently the TT patients (p=0.003 and p<0.001, respectively). The duration of symptoms was significantly longer in the TAT group (p<0.001). The duration of symptoms in the TT cohort significantly impacted the testicular salvage (p=0.008). Color Doppler ultrasound (CDUS) findings of absent/decreased testicular blood flow in the affected testis strongly favored the diagnosis of TT (p<0.001). The older age, shorter duration of symptoms, systemic signs, and CDUS findings can help distinguish between the two most common acute scrotum causes. |
| first_indexed | 2024-03-11T21:44:19Z |
| format | Article |
| id | doaj.art-236fdac745a543278f3289f6019c32ce |
| institution | Directory Open Access Journal |
| issn | 1214-6994 2336-2936 |
| language | English |
| last_indexed | 2024-03-11T21:44:19Z |
| publishDate | 2023-09-01 |
| publisher | Karolinum Press |
| record_format | Article |
| series | Prague Medical Report |
| spelling | doaj.art-236fdac745a543278f3289f6019c32ce2023-09-26T10:59:12ZengKarolinum PressPrague Medical Report1214-69942336-29362023-09-01124325526410.14712/23362936.2023.20The Role of Demographic and Clinical Characteristics in Distinguishing Testicular Torsion from Torsion of the Appendix Testis: A Single-center Retrospective StudyZlatan ZvizdicAmila AganovicEmir MilisicAsmir JonuziDenisa ZvizdicSemir VranicThe acute scrotum (AS) in the pediatric population is a medical emergency. AS is usually caused by testicular torsion (TT) and torsion of the appendix testis (TAT). The current study explored which demographic and clinical characteristics can help distinguish between TT and TAT. We analyzed all children ≤16 years who underwent surgical exploration for AS. The patients were divided into Group 1/TT and Group 2/TAT. Ninety patients were included in the study (24 with TT and 66 with TAT). The peak incidence of TT was significantly higher than in the TAT group (p<0.001). Scrotal pain was more prevalent in the TAT group (p=0.02), whereas systemic signs (nausea/vomiting and abdominal pain) affected more frequently the TT patients (p=0.003 and p<0.001, respectively). The duration of symptoms was significantly longer in the TAT group (p<0.001). The duration of symptoms in the TT cohort significantly impacted the testicular salvage (p=0.008). Color Doppler ultrasound (CDUS) findings of absent/decreased testicular blood flow in the affected testis strongly favored the diagnosis of TT (p<0.001). The older age, shorter duration of symptoms, systemic signs, and CDUS findings can help distinguish between the two most common acute scrotum causes.https://pmr.lf1.cuni.cz/124/3/0255/ |
| spellingShingle | Zlatan Zvizdic Amila Aganovic Emir Milisic Asmir Jonuzi Denisa Zvizdic Semir Vranic The Role of Demographic and Clinical Characteristics in Distinguishing Testicular Torsion from Torsion of the Appendix Testis: A Single-center Retrospective Study Prague Medical Report |
| title | The Role of Demographic and Clinical Characteristics in Distinguishing Testicular Torsion from Torsion of the Appendix Testis: A Single-center Retrospective Study |
| title_full | The Role of Demographic and Clinical Characteristics in Distinguishing Testicular Torsion from Torsion of the Appendix Testis: A Single-center Retrospective Study |
| title_fullStr | The Role of Demographic and Clinical Characteristics in Distinguishing Testicular Torsion from Torsion of the Appendix Testis: A Single-center Retrospective Study |
| title_full_unstemmed | The Role of Demographic and Clinical Characteristics in Distinguishing Testicular Torsion from Torsion of the Appendix Testis: A Single-center Retrospective Study |
| title_short | The Role of Demographic and Clinical Characteristics in Distinguishing Testicular Torsion from Torsion of the Appendix Testis: A Single-center Retrospective Study |
| title_sort | role of demographic and clinical characteristics in distinguishing testicular torsion from torsion of the appendix testis a single center retrospective study |
| url | https://pmr.lf1.cuni.cz/124/3/0255/ |
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