26 results match your criteria Manual Detorsion of the Testes

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Vascular flow to predict testicular compartment syndrome after manual detorsion.

Pediatr Int 2022 Jan;64(1):e14974

Department of Surgery, Saitama Children's Medical Center, Saitama, Japan.

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January 2022

Testicular torsion in children.

Can Fam Physician 2021 09;67(9):669-671

Question: As a family physician caring for a large pediatric population, I evaluate numerous adolescents with testicular pain. Given the gravity of prognosis for late treatment of children with testicular torsion, what are best practices for its assessment and management?

Answer: The Testicular Workup for Ischemia and Suspected Torsion (TWIST) score has been developed and validated to identify children at risk of testicular torsion. If the TWIST score is 0 and clinical suspicion is low in the office setting, a referral to urology for urgent consultation is not needed. Read More

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September 2021

Role of ultrasound in manual detorsion for testicular torsion.

J Clin Ultrasound 2021 Oct 8;49(8):860-869. Epub 2021 Jul 8.

Department of Radiology, Saitama Children's Medical Center, Saitama, Japan.

Purpose: Manual detorsion can be performed for testicular torsion before scrotal exploration. Using sonographic findings, this study investigated the need for additional treatments after manual detorsion for testicular torsion.

Methods: This study evaluated 13 retrospective cases of testicular torsion subjected to manual detorsion. Read More

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October 2021

Testicular Torsion Patients Should Be Manually Detorsed at Diagnosis: A Propensity Score Matched Analysis of the Influence of Interhospital Transfer and Surgical Wait Times on Surgical Organ Salvage.

Pediatr Emerg Care 2022 Feb;38(2):e936-e942

Department of Surgery (Urology), State University of Campinas, Campinas.

Objective: The aim of the study was to assess organ salvage in testicular torsion patients submitted to manual detorsion according to interhospital transfer and surgical wait times.

Methods: Retrospective analysis of consecutive surgically treated testicular torsion patients between 2012 and 2018. We compared testicular surgical salvage in testicular torsion patients submitted to manual detorsion either at clinical diagnosis (immediate detorsion) or after interhospital transfer from lower level-of-care facilities (delayed detorsion) and estimated the influence of interhospital transfer and surgical wait times on outcomes. Read More

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February 2022

Manual detorsion in testicular torsion: 5 years of experience at a single center.

J Pediatr Surg 2020 Dec 24;55(12):2728-2731. Epub 2020 Feb 24.

Department of Pediatric Surgery, Centro Hospitalar Universitário São João, Alameda Professor Hernâni Monteiro, 4200-319 Porto, Portugal; Faculty of Medicine, Universidade do Porto, Alameda Professor Hernâni Monteiro, 4200-319 Porto, Portugal.

Purpose: Testicular torsion is one of the most common causes of acute scrotum in pediatric age. The present study aimed to evaluate the role of preoperative manual detorsion in the management of testicular torsion.

Methods: Retrospective data analysis of pediatric patients treated for acute testicular torsion at a tertiary center over the last 5 years. Read More

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December 2020

Ultrasound-Guided Manual Testicular Detorsion in the Emergency Department.

J Emerg Med 2019 Oct 22. Epub 2019 Oct 22.

Emergency Department, Nepean Hospital, New South Wales, Australia.

Background: Scrotal ultrasound helps in the rapid diagnosis of complete testicular torsion and assessment of alternative causes of acute scrotal pain. Early detection of torsion of the testis and reperfusion, either manually or surgically, is paramount to preserving testicular viability. Manual detorsion also offers immediate symptom relief by alleviating ischemia. Read More

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October 2019

[Diagnosis and management of testicular torsion in children].

Rev Med Suisse 2017 Feb;13(550):406-410

Centre universitaire romand de chirurgie pédiatrique (CURCP), Site Genève, HUG, 1211 Genève 14.

Testicular torsion is a true urologic emergency with a bimodal age presentation : the perinatal testicular torsion presenting with a hard, tender or non-tender scrotal mass usually with underlying dark discoloration of the skin and the peripubertal testicular torsion presenting with severe acute testicular pain, vomiting and frequently pain irradiation in the inguinal area, a high riding-horizontally positioned testis and absence of the cremasteric reflex. Obtaining a US Doppler must not add unnecessary delay to the urgent surgical treatment which entails detorsion and bilateral orchidopexy. We do not recommend manual detorsion as around 30 % of testis rotate externally. Read More

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February 2017

The effectiveness of extra-scrotal fixation following manual detorsion for testicular torsion: a pilot study in a rabbit model.

Cent European J Urol 2016 30;69(4):411-416. Epub 2016 Nov 30.

Marmara University, Faculty of Medicine, Department of Urology, Istanbul, Turkey.

Introduction: To investigate the effectiveness of manual detorsion (MD) and applicability of extra-scrotal fixation for testicular torsion in a rabbit model.

Material And Methods: Twelve New Zealand male rabbits were randomized into six groups of two rabbits each. A single-side testicular torsion (TT) model (different degrees, time and sides) was performed in all groups except the Sham group. Read More

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November 2016

Atypical Testicular Torsion: We Must be Cautious in the Course of Manual Detorsion.

Pediatr Emerg Care 2016 Oct;32(10):691-692

From the Department of Urology, Faculty of Medicine, Süleyman Demirel University, Isparta, Turkey.

Testicular torsion is a common important urological emergency. Testicles usually undergo various degrees of rotation in a medial (inward) direction. Manual detorsion is a critical maneuver, allowing to prevent testis viability in patients with delay to get into the operation room. Read More

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October 2016

Improving Organ Salvage in Testicular Torsion: Comparative Study of Patients Undergoing vs Not Undergoing Preoperative Manual Detorsion.

J Urol 2017 03 30;197(3 Pt 1):811-817. Epub 2016 Sep 30.

Department of Surgery, Faculdade de Ciências Médicas da Universidade de Brasília, Brasilia, Brazil.

Purpose: We compared surgical outcomes between patients undergoing and those not undergoing preoperative manual detorsion for intravaginal testicular torsion.

Materials And Methods: We retrospectively analyzed consecutive patients treated surgically for testicular torsion who were examined within 24 hours of symptoms at our emergency department between January 2012 and September 2015. Explanatory variables were age, presentation delay (time between symptoms and urological examination), surgical wait time (time from examination to surgery), and whether manual detorsion was attempted and, if attempted, was declared successful. Read More

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Acute and intermittent testicular torsion: Analysis of presentation, management, and outcome in South East, Nigeria.

Niger J Clin Pract 2016 May-Jun;19(3):407-10

Department of Surgery, Faculty of Medical Sciences University of Nigeria, Enugu, Enugu State; Department of Surgery, University of Nigeria Teaching Hospital, Enugu, Enugu State, Nigeria.

Background: Testicular torsion compromises the blood supply to the testes and may result in testicular loss or damage if not dealt with promptly. It can occur either as acute testicular torsion (ATT) or intermittent testicular torsion (ITT). This study examines the presentation, management, and outcome of adult testicular torsion. Read More

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[Two cases of intrascrotal tumors complicated acute scrotum].

Nihon Hinyokika Gakkai Zasshi 2008 Sep;99(6):698-702

Department of Urology, Saitama Red Cross Hospital.

We report 2 rare cases of intrascrotal tumors complicated acute scrotum. Case 1: A 15-year-old adolescent presented to our emergency room with acute right scrotal pain. Testicular torsion was suspected, and surgical exploration was performed. Read More

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September 2008

Testicular compartment syndrome: a new approach to conceptualizing and managing testicular torsion.

Urology 2008 Oct 17;72(4):786-9. Epub 2008 Jun 17.

Division of Urology, Children's Hospital of Pennsylvania, University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Objectives: Decompression of compartment syndrome is known to salvage tissues in numerous organ systems. To demonstrate evidence that testes exposed to prolonged ischemia exhibit compartment syndrome physiology and propose a novel technique in treating this phenomenon.

Methods: Three boys, aged 11, 14, and 16 years, with prolonged testicular torsion lasting 6-7 hours were taken to the operating room. Read More

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October 2008

Testicular torsion: a race against time.

S Kapoor

Int J Clin Pract 2008 May;62(5):821-7

Torsion of the testis is a medical emergency that is most commonly encountered in adolescents. Patients usually present with sudden onset scrotal pain associated with nausea and vomiting. On physical examination the involved testis is tender, high riding and usually horizontal. Read More

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Testicular torsion.

Am Fam Physician 2006 Nov;74(10):1739-43

Department of Family and Community Medicine, University of Missouri-Columbia School of Medicine, Columbia, Missouri 65212, USA.

Each year, testicular torsion affects one in 4,000 males younger than 25 years. Early diagnosis and definitive management are the keys to avoid testicular loss. All prepubertal and young adult males with acute scrotal pain should be considered to have testicular torsion until proven otherwise. Read More

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November 2006

[Evaluation of color Doppler flow imaging in the diagnosis and differential diagnosis of spermatic cord torsion].

Zhonghua Nan Ke Xue 2003 Oct;9(7):512-4

Department of Urology, Nanjing General Hospital, Nanjing Command, PLA, Nanjing, Jiangsu 210002, China.

Objective: To distinguish spermatic cord torsion from acute orchitis by color Doppler flow imaging (CDFI).

Methods: Thirteen patients with acute orchialgia were examined by CDFI. The clinical data of diagnosis and treatment were reviewed and analyzed. Read More

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October 2003

Testicular torsion: direction, degree, duration and disinformation.

J Urol 2003 Feb;169(2):663-5

Department of Urology, University of Rochester School of Medicine, Rochester, New York, USA.

Purpose: We reviewed and contrast with the literature the cumulative clinical experience at our pediatric urological division in the last 20 years with managing testicular torsion, focusing specifically on the direction and degree of testicular torsion and the duration of symptoms before presentation. We also addressed the incidence of gastrointestinal symptoms, role of manual detorsion, residual torsion and incidence of atrophy.

Materials And Methods: We reviewed the medical records of 200 consecutive males 18 months to 20 years old who underwent surgical exploration by a pediatric urologist for a diagnosis of testicular torsion between 1980 and 2000. Read More

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February 2003

Preoperative manual detorsion of the spermatic cord with Doppler ultrasound monitoring in patients with intravaginal acute testicular torsion.

Pediatr Radiol 2000 Jan;30(1):41-4

Department of Medical Imaging, Hôpital Sainte-Justine, 3175 Côte-Sainte-Catherine, Montréal, Québec, Canada H3T 1C5.

Objective: To assess the effectiveness of preoperative manual detorsion in acute testicular torsion.

Materials And Methods: Between June 1998 and March 1999, seven patients presenting with testicular torsion underwent manual manipulation under US monitoring in order to restore the flow to the testis prior to surgery (orchidopexy). All detorsions were lateral in direction. Read More

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January 2000

Assessment of acute scrotal symptoms and findings. A clinician's dilemma.

C E Hawtrey

Urol Clin North Am 1998 Nov;25(4):715-23, x

Department of Urology, University of Iowa, Iowa City, USA.

Diagnosis of testis torsion relies on the clinical wisdom of the examining physician, supplemented with timely imaging techniques by color Doppler examination or scintigraphy. A knowledge of the pathophysiology of acute scrotal conditions can help to eliminate diagnostic errors but the literature demonstrates that errors can occur even with sophisticated testing. Data from the literature suggests that manual detorsion of the testis can successfully relieve ischemia until surgical correction can eliminate the possibility of testis torsion. Read More

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November 1998

Manual testicular detorsion aided by color Doppler ultrasonography.

J Ultrasound Med 1995 May;14(5):407-9

Department of Diagnostic Imaging and Radiology, Children's National Medical Center, Washington, DC 20010, USA.

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One-dose technetium-99m pertechnetate imaging in acute testicular torsion followed by manual detorsion.

Clin Nucl Med 1990 Feb;15(2):76-9

Department of Surgery, William Beaumont Army Medical Center, El Paso, Texas 79920-5001.

The role of technetium-99m pertechnetate imaging in acute testicular torsion is well appreciated. Manual testicular detorsion under local anesthesia may be performed in the nuclear medicine clinic by the urology service immediately following initial diagnostic scintigraphy. Following manual testicular detorsion, continued images of the testes are obtained up to 30 minutes without having to reinject the patient with technetium-99m pertechnetate. Read More

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February 1990

Old and new aspects of testicular torsion.

Semin Urol 1988 May;6(2):146-57

Department of Urology, University of California School of Medicine, San Francisco 94143-0738.

Torsion of the spermatic cord is a common condition that requires emergent treatment. Diagnosis based on history and physical examination is rarely conclusive and, although a number of radiographic studies can be helpful, any clinically suspicious lesion should be treated immediately. Manual detorsion may be helpful, but operative exploration with bilateral orchiopexy is still essential. Read More

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Diagnosis and management of testicular torsion: pitfalls and perils.

Am J Emerg Med 1988 Jan;6(1):42-6

Section of Emergency Medicine, University of Arizona, Tucson 85724.

When a patient presents with acute scrotal pain and physical findings do not permit confident exclusion of testicular torsion, the initial step in management is immediate consultation with a urologist, pediatric surgeon, or general surgeon. Scrotal imaging is fallible and takes time that may be critical to salvage of the testis. Manual detorsion may be indicated when specialty support is not immediately available, but even if this technique is apparently successful, the patient should be transferred to specialty care without delay. Read More

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January 1988

Preoperative manual detorsion of the torsed spermatic cord.

E V Cattolica

J Urol 1985 May;133(5):803-5

During a 10-year period 35 of 104 patients with torsion of the spermatic cord had preoperative manual detorsion. The detorsion was performed at the initial physical examination, most commonly without analgesia or sedation. In 34 evaluable patients all of the testes were salvaged without any evidence of atrophy. Read More

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Torsion of testis in Nigerians.

Afr J Med Med Sci 1982 Sep-Dec;10(3-4):97-105

Torsion in a black population is presented. The clinical features are the same as the white counterpart, but the mean age is, however, much higher. There is no bias against any side of testis. Read More

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December 1982
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