3,380 results match your criteria Testicular Torsion


Berberine inhibits the ischemia-reperfusion induced testicular injury through decreasing oxidative stress.

Am J Emerg Med 2019 Apr 2. Epub 2019 Apr 2.

Department of Emergency Medicine, Faculty of Medicine, Karadeniz Technical University, 61080 Trabzon, Turkey.

Purpose: The aim of this study was to investigate the effect of berberine (BBR) on oxidative stress in an experimental testicular I/R injury model.

Methods: Eighteen rats were divided into three groups: control group, torsion-detorsion (T/D) group, and BBR + T/D group. In the pre-treatment of the BBR group, 200 mg/kg BBR was given intraperitoneally 30 min before detorsion. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S07356757193022
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http://dx.doi.org/10.1016/j.ajem.2019.04.001DOI Listing
April 2019
1 Read

Tension hydrocele as an additional cause of acute scrotum: case series and literature review.

Abdom Radiol (NY) 2019 Mar 30. Epub 2019 Mar 30.

Department of Health Sciences (DISSAL), University of Genoa, Emergency Radiology, Policlinico San Martino Hospital, Largo R. Benzi, 10, 16132, Genoa, Italy.

Purpose: To describe the correlation between acute scrotum pain and tension hydrocele, focusing on US and Doppler features.

Methods And Materials: We evaluated retrospectively a series of five patients with a long history of hydrocele who were referred to our institutions for increasing acute scrotal pain. Patients were approached with gray scale US of both testes, as well as with color-Doppler and spectral analysis, comparing the results with those after aspiration and symptoms relief. Read More

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http://dx.doi.org/10.1007/s00261-019-01991-8DOI Listing
March 2019
3 Reads

Scrotal Ultrasound.

Radiol Clin North Am 2019 May 14;57(3):635-648. Epub 2019 Feb 14.

Mallinckrodt Institute of Radiology, Washington University School of Medicine, 510 South Kingshighway Boulevard, St Louis, MO 63110, USA.

Ultrasound is the imaging modality of choice to evaluate the scrotum because of its high resolution, Doppler capabilities, availability, and lack of ionizing radiation. Acute urologic emergencies diagnosed with ultrasound include testicular torsion, testicular rupture, and Fournier gangrene. The radiologist's knowledge of sonographic features of vascular, infectious, traumatic, and benign and malignant processes that occur in the scrotum coupled with the patient's presenting symptoms, age, and physical examination allows for the correct diagnosis of a wide spectrum of scrotal pathology. Read More

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http://dx.doi.org/10.1016/j.rcl.2019.01.007DOI Listing
May 2019
2 Reads

Whole-Exome Sequencing Identifies Novel Heterozygous Mutation in RAF1 in Family with Neonatal Testicular Torsion.

Urology 2019 Mar 20. Epub 2019 Mar 20.

Department of Urology, University of Miami Miller School of Medicine, Miami, FL, USA. Electronic address:

Objective: To investigate a genetic cause of neonatal testicular torsion in two siblings and paternal cryptorchidism in a Caucasian family without history of consanguinity, we performed whole exome sequencing PATIENTS AND METHODS: Targeted exon/whole-exome sequencing was performed in two siblings with testicular torsion. Potentially pathogenic variants passing filter criteria were validated with Sanger sequencing of parents to confirm familial segregation. Additionally, immunofluorescence staining for Raf-1, pERK (downstream from Raf-1) and c-Kit was performed on a testicular biopsy on the preserved testicle from the proband brother and compared with testicular biopsies from fertile men. Read More

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http://dx.doi.org/10.1016/j.urology.2019.01.052DOI Listing
March 2019
1 Read

N-acetylcysteine protects testicular tissue against ischemia/reperfusion injury via inhibiting endoplasmic reticulum stress and apoptosis.

J Pediatr Urol 2019 Feb 15. Epub 2019 Feb 15.

Program of Medical Laboratory Techniques, Vocational School of Health Sciences, Karadeniz Technical University, 61080 Trabzon, Turkey.

Background: In animal models, endoplasmic reticulum (ER) stress has been reported to play a vital role in mediating ischemia/reperfusion (I/R) injury in certain organs, such as brain, liver, and intestine. However, there are a limited number of studies examining the relationship between ER stress and torsion and detorsion (T/D)-induced testicular injury.

Objective: To investigate the effects of N-acetylcysteine (NAC) on ER-stress and apoptosis in an experimental testicular I/R injury model. Read More

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http://dx.doi.org/10.1016/j.jpurol.2019.02.005DOI Listing
February 2019

The role of ultrasound imaging in adult patients with testicular torsion: a systematic review and meta-analysis.

J Med Ultrason (2001) 2019 Mar 7. Epub 2019 Mar 7.

Department of Emergency Medicine, Osaka Medical College, 2-7 Daigaku-machi, Takatsuki, Osaka, 596-8686, Japan.

Purpose: Our aim was to determine the accuracy of ultrasound (US) examination-based testicular torsion diagnosis in adult patients with acute scrotal pain.

Methods: A comprehensive electronic search was performed using internet retrieval systems up to 5 August 2018 in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. The quality of eligible studies was assessed using Quality Assessment for Studies of Diagnostic Accuracy (QUADAS-2). Read More

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http://dx.doi.org/10.1007/s10396-019-00937-3DOI Listing
March 2019
1 Read

Simultaneous Testicular and Appendix Testis Torsion: A Novel Clinically Relevant Association.

Pediatr Emerg Care 2019 Mar 4. Epub 2019 Mar 4.

From the Department of Pediatric Surgery, Centro Hospitalar Universitário São João, Faculty of Medicine, Porto, Portugal.

Torsion of the appendix testis (TAT) and testicular torsion (TT) are the most common causes of acute scrotum in the pediatric population. They usually present as separate conditions and have distinct managements. We report a unique case of a 16-year-old boy with concomitant TAT and TT. Read More

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http://dx.doi.org/10.1097/PEC.0000000000001784DOI Listing

Treatment with estrogen receptor agonist ERβ improves torsion-induced oxidative testis injury in rats.

Life Sci 2019 Apr 27;222:203-211. Epub 2019 Feb 27.

Marmara University, School of Medicine, Department of Physiology, Istanbul, Turkey. Electronic address:

Aims: The purpose of the present study was to investigate the potential antioxidant, anti-apoptotic and sperm function-preserving effects of estrogen, estrogen receptor (ER)α and ERβ agonists in a rat model of testis torsion-detorsion (T/D).

Main Methods: Under anesthesia, 6-8-week-old male Sprague-Dawley rats underwent sham-operation or testicular torsion by fixing left testis rotated at 720° for 2 h. After detorsion, rats were treated with ERα agonist (1 mg/kg/day, subcutaneously, sc) or ERβ agonist (1 mg/kg/day, sc) or estradiol (E, 1 mg/kg/day, in drinking water) or vehicle on the following two days. Read More

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http://dx.doi.org/10.1016/j.lfs.2019.02.056DOI Listing
April 2019
2.702 Impact Factor

Early Clinical Outcome of Staged Laparoscopic Traction Orchidopexy for Abdominal Testes.

J Laparoendosc Adv Surg Tech A 2019 Apr 26;29(4):531-537. Epub 2019 Feb 26.

1 Department of Pediatric Surgery, Children's Hospital, Alexandria University, El-Shatby, Alexandria, Egypt.

Aims Of The Study: To assess the short-term clinical outcome of the novel Shehata technique of laparoscopic traction-lengthening for abdominal testes in a single center over a 12-month period (January-December 2014). An ethics approval of the study and appropriate consents were obtained for all patients before inclusion in our study.

Materials And Methods: A total of 47 consecutive boys presented with impalpable testes in the ipsilateral hemiscrota, 3 of them were bilateral summing up to a total of 50 U of impalpable testes to a single center over 12 months (January-December 2014). Read More

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http://dx.doi.org/10.1089/lap.2018.0171DOI Listing
April 2019
1 Read

Parents' awareness and knowledge of testicular torsion: A cross-sectional study.

Urol Ann 2019 Jan-Mar;11(1):58-61

Department of Surgery, College of Medicine, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia.

Background: Testicular torsion (TT) is one of the most common emergencies in pediatric urology. Family awareness of this condition could lead to early diagnosis and intervention and salvage of the effected testicle. The purpose of this study is to assess parental awareness about TT and their source of knowledge. Read More

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http://dx.doi.org/10.4103/UA.UA_62_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6362777PMC
February 2019

Testicular torsion in a newborn: a case report.

G Chir 2019 Jan-Feb;40(1):54-57

Discovery of an apparent scrotal mass is a non common entity in neonates. Testicular torsion is rare in newborn infants and is an urologic emergency that requires emergency surgical management. We present a rare case of testicular torsion in a neonate. Read More

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February 2019

Testicular torsion and reperfusion: Germ cell DNA damage and development.

Andrologia 2019 Feb 11:e13243. Epub 2019 Feb 11.

Faculty of Veterinary Medicine, Department of Clinical Sciences, Urmia Branch, Islamic Azad University, Urmia, Iran.

This study is aimed to analyse the cross-link between cyclin D1, cdk-4, p21, PCNA and DNA damage during different periods of reperfusion following experimental torsion in rats. Thirty mature male Wistar rats (N = 6) were used. Following 4 hr from torsion induction, the reperfusion was induced. Read More

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http://dx.doi.org/10.1111/and.13243DOI Listing
February 2019
1.172 Impact Factor

Testicular granulomatous vasculitis mimicking testicular torsion in an anti-neutrophil cytoplasmic antibody-associated vasculitis patient.

SAGE Open Med Case Rep 2019 16;7:2050313X18823451. Epub 2019 Jan 16.

Department of Pathology & Immunology, Baylor College of Medicine, Houston, TX, USA.

Testicular vasculitis is uncommon and can be easily misdiagnosed. Early identification and treatment are essential for patient care. A 63-year-old man, presenting with testicular pain and swelling, had been treated with antibiotics for weeks. Read More

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http://dx.doi.org/10.1177/2050313X18823451DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6341501PMC
January 2019

[Manual detorsion and elective orchiopexy as an alternative treatment for acute testicular torsion in children].

Cir Pediatr 2019 Jan 21;32(1):17-21. Epub 2019 Jan 21.

UGC Cirugía Pediátrica. Hospital Universitario Reina Sofía. Córdoba.

Aim: To present our experience in pediatric patients with testicular torsion (TT) treated by manual detorsion (MD).

Patients And Methods: Retrospective analysis of patients treated by MD in a 10-year period in a single center. Description of symptoms, detorsion technique, follow-up and complications. Read More

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January 2019
2 Reads

Do repeat ultrasounds affect orchiectomy rate in patients with testicular torsion treated at a pediatric institution?

J Pediatr Urol 2018 Dec 21. Epub 2018 Dec 21.

Surgical Outcomes Center for Kids, Monroe Carell Jr. Children's Hospital at Vanderbilt, 2200 Children's Way Nashville, TN 37232, USA; Division of Pediatric Urology, Monroe Carell Jr. Children's Hospital at Vanderbilt, 2200 Children's Way, Suite 4102, Nashville, TN 37232-9820, USA.

Introduction: Testicular torsion is a urological emergency; as the testicular salvage rate decreases with time, prompt intervention is required to restore the blood flow. Interhospital transfers and ultrasound examinations, while clinically essential to proper treatment and diagnosis, may adversely affect outcomes by delaying surgical intervention. Patients transferred to another institution for treatment of testicular torsion may experience a further time delay by undergoing two ultrasound examinations: one at the initial admitting institution and one at the receiving institution. Read More

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http://dx.doi.org/10.1016/j.jpurol.2018.12.002DOI Listing
December 2018
1 Read

Sneeze and pop: a ruptured varicocele; analysis of literature, guided by a well-documented case-report.

BMC Urol 2019 Jan 31;19(1):14. Epub 2019 Jan 31.

Department of Urology, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX, Utrecht, The Netherlands.

Background: An acute scrotal hematoma, secondary to a spontaneous rupture of a varicocele is still a rare presentation in daily practice. However, multiple case reports have been reported. Sudden increase in abdominal pressure, resulting to an increased venous pressure can lead to a rupture of the varicocele. Read More

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http://dx.doi.org/10.1186/s12894-019-0442-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6357415PMC
January 2019
1 Read
1.937 Impact Factor

Optimal Management of Undescended Testis in Boys with Cerebral Palsy. A Debate.

Sex Dev 2019 1;13(1):20-25. Epub 2019 Feb 1.

Cerebral palsy is a rare condition following injury of the developing brain and including nonprogressive neurological disorders, spasticity, intellectual impairment and others. Boys with cerebral palsy have a high incidence of undescended testis. Although the motives for treatment (infertility, cancer prevention, psychological aspects, testicular torsion) are not different in boys without neurological impairment, the decision-making process in boys with cerebral palsy is very difficult. Read More

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https://www.karger.com/Article/FullText/496463
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http://dx.doi.org/10.1159/000496463DOI Listing
February 2019
7 Reads

Testicular Torsion Postorchiopexy: A Case of Twisted Hammock.

Urology 2019 Mar 3;125:202-204. Epub 2019 Jan 3.

Department of Urology, School of Medicine, Urology Institute, University Hospitals Cleveland Medical Centre, Cleveland, OH. Electronic address:

We herein report an unusual case of testicular torsion a decade after orchiopexy. An occurrence of postorchiopexy testicular torsion is an exceedingly rare event, infrequently reported in literature. Previously placed anchoring sutures in the inferior pole resulted in a "hammock" testicular torsion, resulting in twisting of cord with involvement of the sutures themselves. Read More

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http://dx.doi.org/10.1016/j.urology.2018.12.032DOI Listing
March 2019
2.188 Impact Factor

The split sign: The MRI equivalent of the bell clapper deformity.

Br J Radiol 2019 Mar 23;92(1095):20180312. Epub 2019 Jan 23.

1 Department of Radiology, Kyoto Prefectural University of Medicine , Kyoto , Japan.

Methods:: The cases of eight patients who underwent MRI and surgery for acute scrotum between January 2010 and January 2017 were evaluated. We recorded whether hyperintense fluid on T weighted images existed between the posterior aspect of the epididymis and the scrotal wall ("split sign") and investigated if it correlated with BCD in surgical findings.

Results:: In one patient without hydrocele, readers were unable to evaluate the anatomy of the tunica vaginalis. Read More

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https://www.birpublications.org/doi/10.1259/bjr.20180312
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http://dx.doi.org/10.1259/bjr.20180312DOI Listing
March 2019
9 Reads

Is follow-up ultrasound necessary after acute epididymitis? A retrospective analysis from a large university hospital.

Scand J Urol 2018 Oct - Dec;52(5-6):445-447. Epub 2019 Jan 2.

a Urology Department , Herlev-Gentofte Hospital , Herlev , 2730 , Denmark.

Objectives: To evaluate the role of scrotal ultrasound in the follow-up after epididymitis for underlying serious testicular pathologies, which could be overseen in the acute phase.

Methods: Retrospective chart reviews were performed for patients diagnosed with acute epididymitis at Herlev-Gentofte Hospital between 2006 and 2013. Patients were included if they had received the diagnosis after a clinical evaluation in the emergency department and had subsequently undergone antibiotic treatment and a follow-up scrotal ultrasound at a later date. Read More

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http://dx.doi.org/10.1080/21681805.2018.1545797DOI Listing
January 2019
1 Read

Neutrophil-Lymphocyte Ratio Predicts Organ Salvage in Testicular Torsion with Marginal Diagnostic Delay.

World J Mens Health 2019 Jan;37(1):99-104

Department of Urology, College of Medicine, Yeungnam University, Daegu, Korea.

Purpose: Though prompt diagnosis to minimize symptom duration (SD) is highly associated with organ salvage in cases of testicular torsion (TT), SD is subjective and hard to determine. We thus investigated the clinical implications of systemic inflammatory responses (SIRs) as potential surrogates of SD to improve testis survival.

Materials And Methods: Sixty men with TT that underwent immediate operation among orchiectomy and orchiopexy following a visit to a single emergency department were retrospectively enrolled. Read More

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http://dx.doi.org/10.5534/wjmh.180049DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6305858PMC
January 2019

Suspected testicular torsion in children: diagnostic dilemma and recommendation for a lower threshold for initiation of surgical exploration.

Res Rep Urol 2018 5;10:241-249. Epub 2018 Dec 5.

Department of Pediatric Surgery, Hamad General Hospital, Doha, Qatar,

Purpose: Testicular torsion (TT) represents a clinical challenge that needs emergency surgical assessment. It is common to have negative scrotal exploration due to confounding symptoms and signs which makes it sometimes difficult to differentiate from similar surgical emergencies that do not warrant surgery. At the same time, several occasions of misdiagnoses or late interventions occur with devastating effects. Read More

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http://dx.doi.org/10.2147/RRU.S186112DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6287511PMC
December 2018

Protective Effects of Uncultured Adipose-Derived Stromal Vascular Fraction on Testicular Injury Induced by Torsion-Detorsion in Rats.

Stem Cells Transl Med 2019 Apr 19;8(4):383-391. Epub 2018 Dec 19.

Department of Urology, Nanjing First Hospital, Nanjing Medical University, Nanjing, Jiangsu, People's Republic of China.

Torsion-detorsion (T/D)-induced testicular injury may lead to male subfertility and even infertility. Stem cell therapy provides an alternative to attenuate testicular injury and promote spermatogenesis. Adipose-derived stromal vascular fraction (SVF) can be acquired conveniently without in vitro expansion, which may avoid the potential risks of microbial contamination, xenogenic nutritional sources, etc. Read More

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http://dx.doi.org/10.1002/sctm.18-0063DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6431687PMC
April 2019
4 Reads

[Testicular Microlithiasis: Update on diagnosis and management.]

Arch Esp Urol 2018 Dec;71(10):840-849

Laboratorio de Andrología, Microbióloga y Química Clínica. Instituto Nacional de Perinatología. Isidro Espinosa de los Reyes. Ciudad de México. México.

Testicular microlithiasis (TM) is an uncommonurologic condition incidentally diagnosed byscrotal ultrasound. It has been associated with differentdiseases, such as Klinefelter`s syndrome, testicular atrophy,cryptorchidism, testicular torsion, and infertility.However, it can also present in healthy males that haveno associated risk factors. Read More

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December 2018
5 Reads

[Pay great attention to and standardize the managment of testicular torsion].

Authors:
F Pan X P Zhang

Zhonghua Yi Xue Za Zhi 2018 Dec;98(46):3729-3731

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http://dx.doi.org/10.3760/cma.j.issn.0376-2491.2018.46.001DOI Listing
December 2018
1 Read

Bilateral Neonatal Testicular Torsion; Hidden Surgical Nightmare.

Front Pediatr 2018 20;6:318. Epub 2018 Nov 20.

Pediatric Surgery, Hamad Medical Corporation, Doha, Qatar.

Perinatal testicular torsion is a relatively rare event that remains unidentified in many situations and managed only after an avoidable delay of time. Its current management approaches include watchful observation, delayed contralateral orchiopexy, and emergent contralateral orchiopexy. On the other hand, bilateral torsion is now being more frequently reported. Read More

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http://dx.doi.org/10.3389/fped.2018.00318DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6256121PMC
November 2018
2 Reads

Surgical practice among pediatric surgeons and pediatric urologists in the Kingdom of Saudi Arabia for the management of suspected testicular torsion.

Saudi Med J 2018 Dec;39(12):1232-1237

Division of Pediatric Surgery, Department of Surgery, College of Medicine, Taibah University, Almadinah Al-munawarah, Kingdom of Saudi Arabia. E-mail.

Objectives: To review and compare clinical practice and experience among pediatric surgeons (PS) and pediatric urologists (PU) for the management of testicular torsion (TT) in the Kingdom of Saudi Arabia (KSA).

Methods: This was a cross-sectional study conducted between August 2016 and November 2017, among all PU and PS involved in the management of suspected TT in KSA. A questionnaire was distributed to participants through the Survs. Read More

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http://dx.doi.org/10.15537/smj.2018.12.22958DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6344661PMC
December 2018
2 Reads

Remote ischemic conditioning in a rat model of testicular torsion: does it offer testicular protection?

J Pediatr Urol 2019 Feb 24;15(1):43.e1-43.e7. Epub 2018 Sep 24.

Division of Urology, Beirut, Lebanon. Electronic address:

Background: Testicular torsion is a surgical emergency mainly affecting adolescent boys, with a relatively high rate of missed torsion and testicular loss secondary to delay in prompt diagnosis and surgical intervention. With ischemic reperfusion injury as its underlying culprit, testicular torsion may respond favorably to remote ischemic conditioning (RIC) where a non-privileged site (e.g. Read More

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http://dx.doi.org/10.1016/j.jpurol.2018.09.012DOI Listing
February 2019
2 Reads

The investigation of the protective effects of nimesulide on experimental testicular ischemia-reperfusion injury in rats.

Rev Int Androl 2018 Nov 23. Epub 2018 Nov 23.

Department of Pharmacology, Faculty of Medicine, Erzincan University Erzincan, Turkey. Electronic address:

Introduction And Objectives: Testicular ischemia/reperfusion (I/R) injury develops after torsion and following detorsion of the testis. Reactive oxygen species were produced and oxidative damage begins to occur due to I/R process. Nimesulide, which is a specific cyclooxygenase-2 inhibitor drug, have antioxidant, antiinflammatory, analgesics and antipyretic effects. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S1698031X183007
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http://dx.doi.org/10.1016/j.androl.2018.08.001DOI Listing
November 2018
13 Reads

Neoplasm of a supernumerary undescended testis: A case report and review of the literature.

Int J Surg Case Rep 2018 13;53:345-347. Epub 2018 Nov 13.

Urology Department, Ibn El Jazzar Teaching Hospital, Kairouan, Tunisia.

Introduction: Polyorchidism, defined as the presence of more than two testicles, is a rare congenital abnormality of the male genital tract. There is no consensus regarding the management of supranumerary testis (SNT) due to its rareness. To the best of our knowledge, this is the first report of leiomyoma in SNT. Read More

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http://dx.doi.org/10.1016/j.ijscr.2018.10.082DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6260374PMC
November 2018
16 Reads

Predictive value of hematological parameters in testicular torsion: retrospective investigation of data from a high-volume tertiary care center.

J Int Med Res 2019 Feb 19;47(2):730-737. Epub 2018 Nov 19.

Department of Urology, Tepecik Training and Research Hospital, Izmir, Turkey.

Objective: To investigate the use of hematological parameters in the differential diagnosis of testis torsion and epididymo-orchitis, and to determine the predictive value of these parameters in the diagnosis of testis torsion.

Methods: This study retrospectively reviewed the medical data of patients who presented to our institute with the complaint of acute scrotal pain. Eighty-five patients who had undergone orchiectomy or surgical detorsion due to testis torsion and 72 patients with epididymo-orchitis were included in the study. Read More

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http://journals.sagepub.com/doi/10.1177/0300060518809778
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http://dx.doi.org/10.1177/0300060518809778DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6381455PMC
February 2019
1 Read

A Pair of Testicular Torsion Medicolegal Cases with Caveats: The Ball's in Your Court.

Clin Pract Cases Emerg Med 2018 Nov 18;2(4):283-285. Epub 2018 Oct 18.

Madigan Army Medical Center, Department of Emergency Medicine, Tacoma, Washington.

In this article, we present two medicolegal cases illustrating medical and diagnostic pitfalls that can lead to litigation for missed testicular torsion. Testicular torsion (TT) is a urologic emergency with potentially devastating consequences and costs, for providers and patients alike. TT occurs in approximately 4. Read More

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http://dx.doi.org/10.5811/cpcem.2018.10.39497DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6230354PMC
November 2018
20 Reads

Transverse testicular ectopia discovered following reduction of an inguinal hernia.

J Pediatr Surg 2019 Mar 22;54(3):608-611. Epub 2018 Oct 22.

Department of Surgery, Division of Pediatric Surgery, Hospital Quironsalud Sur, Madrid, Spain. Electronic address:

Transverse testicular ectopia is a rare condition in which both testicles occupy a single hemiscrotum. The aberrant positioning may lead to vascular compromise or impaired temperature regulation, which elevate the risks for torsion, infertility and testicular cancer. Definitive therapy consists of orchiectomy or orchiopexy. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2018.10.052DOI Listing
March 2019
2 Reads

A systematic review and meta-analysis revealing realistic outcomes following paediatric torsion of testes.

J Pediatr Urol 2018 Dec 5;14(6):503-509. Epub 2018 Oct 5.

Royal Hospital for Children, 1345 Govan Road, Glasgow, G51 4TF, United Kingdom.

Introduction: Reported testicular loss rates following paediatric testicular torsion often reflect the surgical decision-making process, rather than long-term survival of the testes.

Objectives: We aim to perform systematic analysis and meta-analysis to investigate testicular salvage rates and to assess predictors of long-term viability.

Study Design: Systematic review according to PRISMA guidelines was performed to investigate immediate and long-term (>12 months) testicular loss rates following torsion in the paediatric population. Read More

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http://dx.doi.org/10.1016/j.jpurol.2018.09.017DOI Listing
December 2018

An examination on composition of spermatozoa obtained from pre-operative and post-operative varicocele patients.

Reprod Biol 2018 Dec 2;18(4):361-367. Epub 2018 Nov 2.

Department of Histology and Embryology, Faculty of Medicine, Dicle University, Diyarbakır, Turkey.

Varicocele is one of the main and surgically repairable causes of male infertility, which arises from dilatation and torsion of the testicular veins in the plexus pampiniformis. In this study, we examined semen samples from 40 patients diagnosed with varicocele between the ages of 15 and 30 years, according to WHO criteria (pre-operatively, and at 3, 6, and 12 months post-operatively). The mean spermatozoa concentration was found to be 45. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S1642431X183024
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http://dx.doi.org/10.1016/j.repbio.2018.10.005DOI Listing
December 2018
25 Reads

A case of bilateral perinatal testicular torsion that presented with unilateral torsion; necessity of contralateral testis exploration.

Turk J Urol 2018 Nov;44(6):511-514

Department of Urology, Shahid Bahonar Hospital, Kerman University of Medical Sciences (KMU), Kerman, Iran.

Perinatal testicular torsion is a rare emergency in a neonate that prompts immediate attention. Bilateral testicular torsion is extremely rare. We report a case of bilateral torsion that presented with unilateral scrotal swelling but significant atrophy and dark discoloration of the contralateral testis that was secondary to asynchronous prenatal torsion. Read More

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http://dx.doi.org/10.5152/tud.2018.26790DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6179741PMC
November 2018
1 Read

Children with Cryptorchidism Complicated by Testicular Torsion: A Case Series.

Urol Int 2019 26;102(1):113-117. Epub 2018 Oct 26.

Department of Pediatric Surgery, Woman's and Children's Hospital, Shenzhen University and Pingshan District, Shenzhen, China.

Objective: To investigate the clinical features, diagnosis, treatment and prognosis of children with cryptorchidism complicated by testicular torsion.

Methods: The clinical data of 6 children with cryptorchidism complicated by testicular torsion admitted to our hospital from December 2000 to December 2016 were analyzed retrospectively.

Results: All 6 children were diagnosed with cryptorchidism by surgery, their age was from 12 days up to 11 years, and the average time between onset of symptoms and diagnosis was 20. Read More

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https://www.karger.com/Article/FullText/493766
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http://dx.doi.org/10.1159/000493766DOI Listing
March 2019
21 Reads

Concurrent testicular torsion and acute incarcerated inguinal hernia in an adolescent boy.

BMJ Case Rep 2018 Oct 27;2018. Epub 2018 Oct 27.

Department of Pediatric Surgery, Dayton Children's Hospital/Boonshoft School of Medicine, Wright State University, Dayton, Ohio, USA.

Testicular torsion and acute incarcerated inguinal hernia are both common surgical emergencies in the paediatric population. We present the unusual case of a 16-year-old adolescent boy who presented with both of these conditions concurrently. He had a history of a right inguinal hernia, but ultrasound confirmed a testicular torsion and we employed manual detorsion in the emergency department prior to taking him to the operating room. Read More

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http://dx.doi.org/10.1136/bcr-2018-227087DOI Listing
October 2018
3 Reads

Incremental Role of FDG PET/CT in Assessment of Testicular Viability.

Nucl Med Mol Imaging 2018 Oct 2;52(5):377-379. Epub 2018 Jul 2.

1Department of Nuclear Medicine, Postgraduate Institute of Medical Education and Research (PGIMER), Sector -12, Chandigarh, 160012 India.

Testicular torsion is a common differential diagnosis of acute scrotal pain along with acute epididymo-orchitis, which may lead to testicular non-viability. Doppler ultrasound and testicular scintigraphy are two routinely used modalities for the assessment of testicular viability. However, in some cases, these investigations may prove inadequate in differentiating between the two entities with widely differing management. Read More

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http://dx.doi.org/10.1007/s13139-018-0531-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6177341PMC
October 2018

How to Treat Chronic Idiopathic Testicular Pain? Scrotoscopy with a Novel Percutaneous Endoscopy Equipment.

Biomed Res Int 2018 20;2018:9808152. Epub 2018 Sep 20.

Department of Urology, Zhongnan Hospital of Wuhan University, Wuhan University, Wuhan 430071, China.

Background: Management of chronic idiopathic testicular pain may be difficult because of problems identifying the causes. We evaluated "AUTOKLAV", a novel endourological nephrolithotomy device to diagnose and treat chronic idiopathic testicular pain.

Methods: We divided 103 patients to either scrotoscopy group (SG, n = 64) or open exploration group (OEG, n = 39) between September 2014 and March 2017 at Zhongnan Hospital. Read More

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https://www.hindawi.com/journals/bmri/2018/9808152/
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http://dx.doi.org/10.1155/2018/9808152DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6171263PMC
January 2019
5 Reads

The protective effect of low-energy shock wave on testicular ischemia-reperfusion injury is mediated by the PI3K/AKT/NRF2 pathway.

Life Sci 2018 Nov 13;213:142-148. Epub 2018 Oct 13.

Department of Urology, Affiliated Haikou Hospital of Xiangya School of Medicine, Central South University, Haikou 570208, Hainan Province, China; Haikou Center for Medical Synchrotron Radiation Research, Haikou People's Hospital, Haikou 570208, Hainan Province, China. Electronic address:

Aims: Testicular ischemia-reperfusion (IR) injury is the primary pathophysiological consequence of testicular torsion. Low-energy shock wave (LESW) is an effective treatment for certain diseases. The present study investigated whether LESW could improve on testicular IR injury in rats and examined the involved mechanism. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00243205183063
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http://dx.doi.org/10.1016/j.lfs.2018.10.021DOI Listing
November 2018
2 Reads

Sodium nitrite-derived nitric oxide protects rat testes against ischemia/reperfusion injury.

Asian J Androl 2018 Oct 12. Epub 2018 Oct 12.

The Institute for the 3Rs & Department of Laboratory Animal Medicine, College of Veterinary Medicine and Veterinary Science Research Institute, Konkuk University, Seoul 05029, Korea.

Testicular torsion, a common urologic emergency, is primarily caused by ischemia/reperfusion (I/R) injury of the testis. Nitric oxide (NO)-derived from nitrite (NO) has been reported to have prominent therapeutic effects on I/R injury in the heart, liver, and brain; however, its effects on testicular I/R injury have not been evaluated. This study, therefore, investigated whether NO from NO is beneficial in a rat model of testicular I/R injury which eventually results in impaired spermatogenesis. Read More

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http://dx.doi.org/10.4103/aja.aja_76_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6337950PMC
October 2018
9 Reads

Snail shell sign: Testicular/ovarian torsion.

J Med Imaging Radiat Oncol 2018 Oct;62 Suppl 1:106

Department of Radiology, Concord Repatriation General Hospital, Concord, New South Wales, Australia.

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http://doi.wiley.com/10.1111/1754-9485.50_12784
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http://dx.doi.org/10.1111/1754-9485.50_12784DOI Listing
October 2018
4 Reads

Effect of anakinra, an interleukin one beta antagonist, on oxidative testicular damage induced in rats with ischemia reperfusion.

Rev Int Androl 2018 Jul - Sep;16(3):87-94. Epub 2017 Jun 7.

Department of Biochemistry, Faculty of Medicine, Atatürk University, Erzincan, Turkey.

Background: It has been reported in the literature that proinflammatory interleukin-1 beta (IL-1β) is increased in cases of testicular ischemia reperfusion (I/R) damage. This information suggests that anakinra, an IL-1β antagonist, may be effective in testicular I/R damage.

Objective: In our study, we investigated the effect of anakinra on testicular I/R damage induced in rats with torsion/detorsion. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S1698031X173002
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http://dx.doi.org/10.1016/j.androl.2017.03.001DOI Listing
June 2017
2 Reads

Testicular Torsion.

Authors:
Grace S Hyun

Rev Urol 2018 ;20(2):104-106

Department of Pediatric Urology, NYU Langone Hospital-Brooklyn Brooklyn, NY.

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http://dx.doi.org/10.3909/riu0800DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6168322PMC
January 2018

Acquired undescended testis and possibly associated testicular torsion in children with cerebral palsy or neuromuscular disease.

J Pediatr Urol 2018 Oct 23;14(5):402-406. Epub 2018 Aug 23.

Department of Urology, Osaka Women's and Children's Hospital, Osaka, Japan.

Introduction: Torsion of an undescended testis (UDT) associated with cerebral palsy (CP) and neuromuscular disease (NMD) is an uncommon condition that is not well recognized by primary care physicians or healthcare providers.

Objective: The objective of this study was to highlight the clinical importance of torsion of a UDT in children with CP and NMD.

Materials And Methods: Eleven children with testicular torsion of a UDT operated on at the study institute between 1991 and 2015 were identified. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S14775131183048
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http://dx.doi.org/10.1016/j.jpurol.2018.08.015DOI Listing
October 2018
4 Reads

Effect of Unilateral Iatrogenic Torsion onContralateral Testis inRat, Prepubertal and Postpubertal.

Urol J 2018 Sep 11. Epub 2018 Sep 11.

Kidney Transplantation Complications Research Center, Mashhad University of Medical Sciences, Mashhad -IRAN.

Purpose: The present study was conducted to investigate the influence of hemicastration and age at hemicastration on the subsequent contralateral testis.

Materials And Methods: 64 Wistar-derived male rats divided randomly in 4 groups. Group 1 named immature intervention, group 2 immature control, group 3 mature intervention and group 4mature control. Read More

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http://dx.doi.org/10.22037/uj.v0i0.4289DOI Listing
September 2018
7 Reads

Benefits of spinal anesthesia for urologic surgery in the youngest of patients.

J Pediatr Urol 2019 Feb 17;15(1):49.e1-49.e5. Epub 2018 Aug 17.

Nationwide Children's Hospital, Department of Anesthesiology, 700 Children's Drive, Columbus, OH 43205, USA.

Introduction: Increasing concerns regarding potential negative effects of early use of inhalational and intravenous anesthetics on neurocognitive development have led to a growing interest in alternative forms of anesthesia in infants. The study institution's outcomes with spinal anesthesia (SA) for urologic surgery in infants aged less than 90 days are reported and their outcomes with a matched cohort of patients who underwent general anesthesia (GA) are compared.

Methods: This is a retrospective single-center analysis. Read More

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http://dx.doi.org/10.1016/j.jpurol.2018.08.011DOI Listing
February 2019
6 Reads

The Protective Effects of Pulsed Magnetic Field and Melatonin on Testis Torsion and Detorsion Induced Rats Indicated by Scintigraphy, Positron Emission Tomography/Computed Tomography and Histopathological Methods.

Urol J 2018 Nov 17;15(6):387-396. Epub 2018 Nov 17.

Gaziosmanpaşa University, Faculty of Medicine, Department of Urology, Tokat 60100, Turkey.

Purpose: The aim of the present study was to show the protective effect of pulsed magnetic field (PMF) application and melatonin administration on damage in testis in a one-sided torsion detorsion induced rat model using testicular scintigraphy with 99mTc pertechnetate, PET/CT with 18F-FDG and histopathological methods.

Materials And Methods: Sixty male rats were used in the study; 30 rats were randomly divided into five groups for one day applications of sham control, torsion, melatonin, pulsed magnetic field (PMF) and melatonin plus PMF. Similarly, for one week group, the other 30 rats were divided into the same five group (n=6), but the animals were sacrificed after one week. Read More

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http://dx.doi.org/10.22037/uj.v0i0.4404DOI Listing
November 2018
14 Reads
0.710 Impact Factor

Voiceless disability: A worth case of bilateral infrainguinal testicular torsion in a patient with cerebropalsy.

Ann Med Surg (Lond) 2018 Sep 20;33:47-49. Epub 2018 Aug 20.

Department of Paediatric Surgery, Institute for Maternal and Child Health, IRCCS Burlo Garofolo, Trieste, Italy.

Introduction: A fast surgical treatment is the gold standard when a testicular torsion is diagnosed.However, an early diagnosis of torsion may not be feasible in case of torsion associated with undescended testis in the patients affected by cerebropalsy.

Case Presentation: A Bolivian 16 year old male with acquired cerebropalsy and spastic neuromuscular disease was admitted to our Institute for a right inguinal swelling observed by the father in the morning. Read More

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http://dx.doi.org/10.1016/j.amsu.2018.08.011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6111052PMC
September 2018
10 Reads