Low-Grade Injury following Testicular Torsion: A Multicenter Study Confirming a Disturbing Possibility

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dc.authoridTiryaki, Sibel/0000-0003-4087-1911
dc.authoridkaba, meltem/0000-0003-3669-5900
dc.authoridCigsar Kuzu, Emine Burcu/0000-0002-6840-7494
dc.contributor.authorCigsar Kuzu, Emine Burcu
dc.contributor.authorTiryaki, Sibel
dc.contributor.authorGuney, Neslihan
dc.contributor.authorPolatdemir, Kamer
dc.contributor.authorCakir, Yasemin
dc.contributor.authorKaragozlu Akgul, Ahsen
dc.contributor.authorToper, Muhammed Hasan
dc.date.accessioned2024-09-18T20:59:20Z
dc.date.available2024-09-18T20:59:20Z
dc.date.issued2023
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractIntroduction: There is an ongoing debate whether to perform orchiectomy or orchidopexy following testicular torsion (TT) in cases where the testis seems non-viable. The main problem is lack of objective criteria defining testicular viability. The aim of this study was to investigate the grade of injury in orchiectomy specimens obtained from cases of TT and its association with clinical findings. Methods: This multicenter retrospective study involved double-blinded reassessment of the patient files and the pathological specimens using Mikuz classification to analyze the relation between clinical and pathological findings. Results: A total of 289 patient charts from 14 centers were reviewed and 228 were included in this study. Twenty (8.8%) patients had grade 1 injury which refers to reversible injury. The clinical findings of these 20 patients were compared to 208 patients with higher grades of injury. As expected, there was statistically significant difference regarding duration of symptoms (p < 0.001); however, range was wide in both groups (as long as 96 h for grade 1 and as short as 7 h for higher grades). There was no statistically significant difference in any other variable including age (median 14 for both, p = 0.531), symptoms (pain: 19/20 vs. 189/202, p = 0.801; swelling: 13/19 vs. 168/197, p = 0.094), absence of blood flow in Doppler US (15/19 vs. 164/197, p = 0.635), or degree of torsion (median 720(degrees )for both, p = 0.172). Conclusion: Our study revealed necessity for better criteria to define viability of testis following TT. Histopathological injury appeared to be reversible even in some patients with more severe perioperative findings, late admission, or high degree of twisting. Our findings support the tendency for testicular fixation instead of orchiectomy as none of the clinical or perioperative findings could be attributed to high-grade injury.en_US
dc.identifier.doi10.1159/000534454
dc.identifier.endpage976en_US
dc.identifier.issn0042-1138
dc.identifier.issn1423-0399
dc.identifier.issue10-12en_US
dc.identifier.pmid37913756en_US
dc.identifier.scopus2-s2.0-85180539411en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage971en_US
dc.identifier.urihttps://doi.org/10.1159/000534454
dc.identifier.urihttps://hdl.handle.net/20.500.12483/12526
dc.identifier.volume107en_US
dc.identifier.wosWOS:001128360200009en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherKargeren_US
dc.relation.ispartofUrologia Internationalisen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectTestisen_US
dc.subjectTesticular torsionen_US
dc.subjectOrchiectomyen_US
dc.subjectGrade of injuryen_US
dc.titleLow-Grade Injury following Testicular Torsion: A Multicenter Study Confirming a Disturbing Possibilityen_US
dc.typeArticleen_US

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