848 results match your criteria Testicular Torsion Imaging


Comparison of diagnostic and treatment guidelines for undescended testis.

Clin Exp Pediatr 2020 Mar 23. Epub 2020 Mar 23.

Department of Pediatrics, Inje University Busan Paik Hospital, Busan, Korea.

Cryptorchidism or undescended testis is the single most common genitourinary disease in male neonates. In most cases, the testes will descend spontaneously by three months of age. If the testes do not descend by six months of age, the probability of spontaneous descent thereafter is low. Read More

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http://dx.doi.org/10.3345/cep.2019.01438DOI Listing

[Clinical characterization of incomplete testicular torsion in children].

Zhonghua Nan Ke Xue 2019 Nov;25(11):1005-1010

Department of Urology, Wuhan Children's Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430000, China.

Objective: To analyze the clinical characteristics of incomplete testicular torsion (ITT) in children in order to gain a deeper insight into the disease.

Methods: This retrospective study included 37 children with ITT treated in our hospital from April 2007 to April 2017. We analyzed the clinical characteristics and results of physical examination, laboratory examination, ultrasonography and treatment. Read More

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November 2019

[Testicular torsion of <360 degrees in children: A 10-year single-center retrospective study].

Zhonghua Nan Ke Xue 2019 Jun;25(6):539-543

Department of Urology, Wuhan Children's Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430000, China.

Objective: To further understand the clinical features of <360-degree testicular torsion (TT) in children and better predict its prognosis.

Methods: This retrospective study included 73 cases of TT surgically confirmed in our hospital from January 2007 to January 2017, which, according to the inclusion and exclusion criteria, were divided into groups A (TT of <360 degrees, n = 26) and B (TT of ≥360 degrees, n = 47). We sorted out the clinical data through the hospital medical information management system and analyzed the clinical characteristics and treatment of the cases. Read More

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[Acute idiopathic scrotal edema-an underestimated differential diagnosis of acute scrotum].

Urologe A 2020 Mar;59(3):266-270

Klinik für Kinderurologie in Kooperation mit der Universität Regensburg, KUNO-Klinik St. Hedwig, Steinmetzstraße 1-3, 93049, Regensburg, Deutschland.

Considering that Quist et al. first described the acute idiopathic scrotal edema (AISE) already in 1956, there are not many studies published in literature concerning the etiology, the development, and the progress of the disease since then. According to the literature the incidence of AISE is about 20%. Read More

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http://dx.doi.org/10.1007/s00120-020-01144-6DOI Listing

The theoretical method and clinical application of testicular torsion.

Int Urol Nephrol 2020 Feb 12. Epub 2020 Feb 12.

Department of Ultrasound Imaging, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, No. 56 of Nanlishi road, Xicheng District, Beijing, 100045, China.

Introduction: This study aims to explore the theoretical method and clinical application of manipulation reduction for testicular torsion.

Methods: A total of 28 patients with testicular torsion were recruited from the Emergency Surgery Department of Beijing Children's Hospital affiliated to Capital Medical University from July 2016 to July 2018. Among these patients, 22 patients (age: 10. Read More

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http://dx.doi.org/10.1007/s11255-020-02382-5DOI Listing
February 2020

Imaging of the acute scrotum: keys to a rapid diagnosis of acute scrotal disorders.

Abdom Radiol (NY) 2019 Nov 20. Epub 2019 Nov 20.

Section of Abdominal Imaging, Imaging Institute, Cleveland Clinic, 9500 Euclid Ave, Cleveland, OH, 44195, USA.

Imaging of the scrotum in the setting of acute symptoms such as pain or swelling is commonly performed emergently to differentiate between patients who require immediate surgery and those that do not. Acute scrotal symptoms are generally caused by infectious, traumatic or vascular etiologies. Rapid diagnosis and initiation of treatment is vital for testicular salvage in cases of acute testicular torsion, testicular rupture, and Fournier gangrene. Read More

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http://dx.doi.org/10.1007/s00261-019-02333-4DOI Listing
November 2019

[Contrast-enhanced ultrasonography of testicular tumours].

Authors:
G Lock

Urologe A 2019 Dec;58(12):1410-1417

Klinik für Innere Medizin, Albertinen-Krankenhaus Hamburg, Süntelstr. 11a, 22457, Hamburg, Deutschland.

Scrotal ultrasound with high-resolution transducers and additional display of vascularisation in colour-coded ultrasonography is the method of choice for the detection and characterisation of testicular tumors. Within the last decade, testicular ultrasonography has been further refined and improved by the possibilities of contrast-enhanced ultrasound (CEUS).CEUS may be especially helpful in the assessment of vascularisation disorders (e. Read More

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http://dx.doi.org/10.1007/s00120-019-01065-zDOI Listing
December 2019

More Than Just Torsion: An Unusual Case of Testicular Pain.

Mil Med 2019 Oct 28. Epub 2019 Oct 28.

Naval Medical Center Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23708.

Testicular pain has a wide differential and the nonspecific presentation should be triaged rapidly for urgent diagnosis and treatment. Scrotal pyoceles are uncommon collections of purulent fluid between the visceral and parietal tunica vaginalis, usually secondary to acute epididymo-orchitis, intra-abdominal infection, or trauma. Epididymitis and epididymo-orchitis are generally secondary to sexually transmitted infections or urinary tract pathogens. Read More

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http://dx.doi.org/10.1093/milmed/usz316DOI Listing
October 2019
2 Reads

Witnessed Torsion in Extremely Premature Newborns: 2 Cases of Testicular Salvage in the NICU.

Urology 2020 01 27;135:136-138. Epub 2019 Sep 27.

Department of Surgery, Division of Urology, University of Alberta, Edmonton, Alberta, Canada. Electronic address:

Neonatal testicular torsion is an uncommon event that rarely results in testicular salvage. We present 2 cases in the neonatal intensive care unit of extremely premature males (<28 weeks gestation) with witnessed testicular torsion, prompt diagnosis, surgical detorsion, and good short-term outcomes. Although an uncommon scenario, we present the feasibility of surgery in the extremely premature infant and potential for testicular salvage. Read More

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http://dx.doi.org/10.1016/j.urology.2019.07.048DOI Listing
January 2020
3 Reads

Imaging Acute Non-Traumatic Abdominal Pathologies in Pediatric Patients: A Pictorial Review.

J Radiol Case Rep 2019 Jul 31;13(7):29-43. Epub 2019 Jul 31.

Department of Radiology, American University of Beirut Medical Center, Beirut, Lebanon.

The dilemma of acute non-traumatic abdominal pathologies in the pediatric population depends on the age of the patients and symptoms. Surgical etiologies in patients younger than 2 years of age include intussusception, pyloric stenosis, malrotation and midgut volvulus. In older patients, considerations become closer to differential etiologies in adults including acute appendicitis. Read More

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http://dx.doi.org/10.3941/jrcr.v13i7.3443DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6738493PMC
July 2019
4 Reads

False-positive halo sign on testicular scintigraphy in a 2-year-old boy with epididymo-orchitis.

Nucl Med Rev Cent East Eur 2019 ;22(2):94-95

Pain Research Center Imam Khomeini Hospital Ahvaz Jundishapur University Of Medical Science, Ahvaz, Iran.

We reported a case of 2-year-old child where epididymo-orchitis was misdiagnosed as testicular torsion on scrotal scintigraphy. The scan showed that left hemiscrotum demonstrated a rim of increased activity with a photopenic center in the left testis (halo sign). At surgery, epididymo-orchitis was detected and there was no testicular torsion. Read More

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http://dx.doi.org/10.5603/NMR.2019.0023DOI Listing
January 2020
1 Read

Conservative Management of Scrotal Hematoma Secondary to Adrenal Hemorrhage in Newborns.

Urology 2019 Nov 26;133:e1-e2. Epub 2019 Aug 26.

Department of Pediatrics, Hospital Universitario Virgen del Rocío de Sevilla, 41013 Sevilla, Spain.

A 24-hour-old male presented with bruising and swelling of the right hemiscrotum and groin. Testicular torsion was ruled out in a Doppler sonography, signs of an evolving right adrenal hemorrhage was demonstrated in the abdominal ultrasound. The imaging follow-up proved the disappearance of both scrotal and adrenal hematomas. Read More

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http://dx.doi.org/10.1016/j.urology.2019.08.018DOI Listing
November 2019
4 Reads

Accuracy of point-of-care ultrasound by pediatric emergency physicians for testicular torsion.

J Pediatr Urol 2019 Dec 12;15(6):608.e1-608.e6. Epub 2019 Jul 12.

Emergency Point-of-Care Ultrasound Program, Division of Pediatric Emergency Medicine, The Hospital for Sick Children, University of Toronto, Toronto, ON, M5G 1X8, Canada.

Introduction: Acute scrotum is a common presentation to the pediatric emergency department, and ultrasound is frequently used to narrow the differential diagnosis. Point-of-care ultrasound (POCUS) is increasingly used by urologists and emergency physicians and could potentially be used to detect pediatric testicular torsion.

Objectives: This study aimed to determine the accuracy of POCUS by pediatric emergency physicians in diagnosing testicular torsion and the agreement between point-of-care ultrasound and final diagnosis for other causes of acute scrotum. Read More

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http://dx.doi.org/10.1016/j.jpurol.2019.07.003DOI Listing
December 2019
2 Reads

Isolated Spermatic Vein Thrombosis.

J Coll Physicians Surg Pak 2019 Aug;29(8):780-781

Department of Radiology, Medeniyet University Göztepe Training and Research Hospital, Istanbul, Turkey.

Isolated spermatic vein thrombosis is an uncommon pathology, mostly involving left side. These patients present with acute scrotal symptoms, and can be misdiagnosed as testicular torsion or incarcerated inguinal hernia. At this point, Doppler ultrasound (US) plays critical role for the prompt and correct diagnosis of this rare clinical entity. Read More

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http://dx.doi.org/10.29271/jcpsp.2019.08.780DOI Listing
August 2019
4 Reads

Young Man With Sudden Scrotal Pain.

Ann Emerg Med 2019 08;74(2):185-250

Department of Emergency, School of Medicine, College of Medicine, and the Emergency Department, Department of Emergency and Critical Medicine, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan.

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http://dx.doi.org/10.1016/j.annemergmed.2019.01.043DOI Listing
August 2019
1 Read

Testicular torsion.

CMAJ 2019 07;191(28):E792

Division of Pediatric Urology (Keays), Children's Hospital of Eastern Ontario; Department of Emergency Medicine (Rosenberg), The Ottawa Hospital, Ottawa, Ont.

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http://dx.doi.org/10.1503/cmaj.190158DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6629539PMC
July 2019
8 Reads

Testicular ischemia in deficiency of adenosine deaminase 2 (DADA2).

Pediatr Rheumatol Online J 2019 Jul 10;17(1):39. Epub 2019 Jul 10.

Department of Paediatric Rheumatology, Great Ormond Street Hospital NHS Foundation Trust, London, UK.

Background: Deficiency of adenosine deaminase 2 (DADA2) is a rare autosomal recessive autoinflammatory condition. Recognised features include vasculitis predominantly affecting medium sized vessels, livedoid skin rash, central and peripheral nervous system involvement, variable degrees of immunodeficiency, and marrow failure, amongst other clinical presentations. We present the case of a six year old male with DADA2 who presented with acute testicular ischaemia secondary to vasculitis, the first such description in DADA2. Read More

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https://ped-rheum.biomedcentral.com/articles/10.1186/s12969-
Publisher Site
http://dx.doi.org/10.1186/s12969-019-0334-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6617945PMC
July 2019
6 Reads

Can haematologic parameters be used to predict testicular viability in testicular torsion?

Andrologia 2019 Oct 2;51(9):e13357. Epub 2019 Jul 2.

Urology Department, Beijing Children's Hospital, Capital Medical University, Beijing, China.

The purpose of this study was to evaluate the predictive value of haematologic parameters for testicular survival in torsion. Children with testicular torsion (TT) treated in Beijing Children's Hospital from January 2006 to December 2018 were enrolled in this study. Patient data collected in this study included age, symptom duration, preoperative preparation time, cryptorchidism testicular torsion or not, spermatic cord torsion degree, orchiectomy/orchiopexy, testicular volume 3 months after operation by ultrasound in orchiopexy patients and haematologic parameters. Read More

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http://dx.doi.org/10.1111/and.13357DOI Listing
October 2019
3 Reads

A rare cause of acute scrotum in a child: torsion of an epididymal cyst. Case report and review of the literature.

Pediatr Med Chir 2019 Jun 21;41(1). Epub 2019 Jun 21.

Division of Pediatric Surgery, Department of Medical, Surgical and Neurological Sciences, University of Siena, Siena.

Torsion of an epididymal cyst is an extremely rare cause of acute scrotum in children and in young boys. Its reported incidence is 5-20%. The treatment is usually conservative. Read More

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http://dx.doi.org/10.4081/pmc.2019.210DOI Listing
June 2019
1 Read

ACR Appropriateness Criteria Acute Onset of Scrotal Pain-Without Trauma, Without Antecedent Mass.

J Am Coll Radiol 2019 May;16(5S):S38-S43

Specialty Chair, University of Alabama at Birmingham, Birmingham, Alabama.

An acute scrotum is defined as testicular swelling with acute pain and can reflect multiple etiologies including epididymitis or epididymo-orchitis, torsion of the spermatic cord, or torsion of the testicular appendages. Quick and accurate diagnosis of acute scrotum and its etiology with imaging is necessary because a delayed diagnosis of torsion for as little as 6 hours can cause irreparable testicular damage. Ultrasound duplex Doppler of the scrotum is usually appropriate as the initial imaging for the acute onset of scrotal pain without trauma or antecedent mass in an adult or child. Read More

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http://dx.doi.org/10.1016/j.jacr.2019.02.016DOI Listing
May 2019
24 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
22 Reads

A Man with Right Lower Quadrant Abdominal Pain.

Am J Med 2019 07 7;132(7):830-832. Epub 2019 Mar 7.

Department of Emergency Medicine, Mackay Memorial Hospital, Taipei, Taiwan; Department of Medicine, Mackay Medical College, New Taipei City, Taiwan. Electronic address:

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http://dx.doi.org/10.1016/j.amjmed.2019.02.014DOI Listing

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

J Med Ultrason (2001) 2019 Jul 7;46(3):325-334. 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
July 2019
8 Reads

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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December 2019
4 Reads

[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
5 Reads

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

J Pediatr Urol 2019 Apr 21;15(2):179.e1-179.e5. 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
April 2019
4 Reads

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
11 Reads
1.937 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
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6541176PMC
March 2019
29 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
August 2019
8 Reads

[Diagnosis and treatment of 109 cases of testicular torsion in children and adolescents].

Zhonghua Nan Ke Xue 2019 Janurary;25(1):46-49

Department of Urology, Hunan Children's Hospital, Changsha, Hunan 410007, China.

Objective: To investigate the diagnosis and treatment of testicular torsion in children and adolescents and to analyze the postoperative outcomes.

Methods: We retrospectively analyzed 109 cases of unilateral testicular torsion treated in our hospital between 2015 and 2017, including 62 cases of left (56.9%) and 47 cases of right torsion (43. Read More

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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
3 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
12 Reads

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
6 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
8 Reads

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
41 Reads

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
40 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
12 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
8 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
Publisher Site
http://dx.doi.org/10.1111/1754-9485.50_12784DOI Listing
October 2018
10 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
31 Reads
0.710 Impact Factor

Testicular cavernous hemangioma associated with testicular torsion - case report and review of literature.

Int J Surg Case Rep 2018 27;49:247-250. Epub 2018 Jun 27.

Department of Pediatric and Adolescent Surgery, General Hospital, Klagenfurt, Austria. Electronic address:

Introduction: Testicular neoplasms that are derived from connective tissue, blood vessels and musculature are uncommon and intra-testicular tumors of vascular origin are extremely rare; both are benign in nature. Testicular hemangioma is exceedingly rare and typically occurs in patients younger than 20 years, the age in which a primary germ cell tumor of the testis may present, necessitating a radical approach to management with orchidectomy, although potential conservative focal partial surgical excision is desirable. Hemangiomas of the testis have a similar sonographic and magnetic resonance imaging appearance to that of malignant tumors of the testis, especially seminoma. Read More

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http://dx.doi.org/10.1016/j.ijscr.2018.06.019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6080632PMC
June 2018
8 Reads

[Segmental testicular infarction].

Urologe A 2018 Aug;57(8):947-950

Urologische Klinik und Poliklinik, Errikos Ntynan Hospital Center, Leoforos Mesogeion 107, 11526, Athen, Griechenland.

Segmental testicular infarction is a rare cause of acute scrotum and only a few cases have been reported. Torsion of the testis, testicular tumor and infection are important differential diagnoses. The present case report describes a 61-year-old man with left-sided testicular pain increasing over 24 h. Read More

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http://dx.doi.org/10.1007/s00120-018-0721-4DOI Listing
August 2018
1 Read

Bilateral low origin of testicular artery: a case report.

J Vasc Bras 2017 Jul-Sep;16(3):258-261

Manipal University, Melaka Manipal Medical College, Department of Anatomy, Manipal, Karnataka, India.

The testicular artery is frequently subjected to radiographic imaging techniques such as angiography for diagnosis and treatment of conditions like epididymitis, testicular torsion, tumor, hematoma, and hydrocele and in cases of undescended testis. Radiologists and surgeons should therefore be aware of testicular artery variants. Although there are numerous studies and case reports that mention testicular artery variants, this is probably the first case, reporting a bilateral low origin of the testicular artery and discussing its probable embryological etiology. Read More

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http://dx.doi.org/10.1590/1677-5449.003017DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5868945PMC
June 2018
39 Reads

Retroperitoneal seminoma, a rare cause of testicular pain.

BMJ Case Rep 2018 Jun 14;2018. Epub 2018 Jun 14.

Department of General Surgery, Royal Free London NHS Foundation Trust, London, London, UK.

Extragonadal retroperitoneal seminomas are a rare cause of testicular pain in males. We report the case of a 46-year-old man, who presented with right-sided testicular pain, clinically mimicking testicular torsion. The patient underwent a scrotal exploration, which revealed normal testes. Read More

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http://dx.doi.org/10.1136/bcr-2017-223736DOI Listing
June 2018
15 Reads

[Strangulated inguinal hernia complicated by testicular ischemia due to permeability of peritoneo-vaginal canal].

Pan Afr Med J 2018 25;29:76. Epub 2018 Jan 25.

Service de Radiologie Générale du CHU Aristide Le Dantec, Dakar, Sénégal.

Inguinal hernia is frequent in children. Strangulated hernia is the main complication of this disease and it is a diagnostic and therapeutic emergency. Imaging techniques, in particular Ultrasound, play a key role in case of diagnostic doubt, especially when the hernia occurs in a context of oscillating testicles because this may mimic a torsion of the spermatic cord. Read More

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http://dx.doi.org/10.11604/pamj.2018.29.76.14132DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5987126PMC
June 2018
10 Reads

Conservative management of bilateral traumatic testicular dislocation in a 10-year-old boy.

J Rural Med 2018 May 29;13(1):82-85. Epub 2018 May 29.

Department of Urology, Nagaoka Chuo General Hospital, Japan.

A 10-year-old boy fell from a one-meter-high Jacuzzi ladder in a hot spring facility, landing in a straddle position, and injured his perineum. He visited the emergency room of our hospital immediately after the injury. Magnetic resonance imaging (MRI) revealed a tear of the corpus spongiosum urethra, and compression due to a hematoma. Read More

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http://dx.doi.org/10.2185/jrm.2952DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5981024PMC
May 2018
7 Reads

Torsion of huge epididymal cyst in a 16-year-old boy: case report and review of the literature.

Pediatr Med Chir 2018 May 29;40(1). Epub 2018 May 29.

Department of Pediatric Surgery and Pediatric Minimally Invasive Surgery and New Technologies, San Bortolo Hospital, Vicenza.

Epididymal cysts (ECs) are relatively common in adults, rare in children. Normally their treatment is conservative. They may be situated anywhere in the organ, frequently in the region of the head. Read More

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http://dx.doi.org/10.4081/pmc.2018.162DOI Listing
May 2018
6 Reads

[CEUS-Use in testicular pathologies].

Radiologe 2018 Jun;58(6):572-578

Klinik und Poliklinik für Radiologie, Ludwig-Maximilians-Universität München, München, Deutschland.

Background: The work-up of scrotal diseases forms an essential part of daily work in urology. Sonography plays an important role in the diagnostic process, due to its wide availability and feasibility.

Objectives: Advantages of modern contrast-enhanced ultrasound (CEUS) are illustrated using examples of common testicular pathologies. Read More

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http://dx.doi.org/10.1007/s00117-018-0387-3DOI Listing

The utility of scrotal ultrasonography in the emergent setting: beyond epididymitis versus torsion.

Emerg Radiol 2018 Aug 21;25(4):341-348. Epub 2018 Apr 21.

Department of Radiologic Sciences, Wake Forest University Baptist Medical Center, Medical Center Blvd, Winston-Salem, NC, 27157, USA.

Scrotal pain is a common acute presentation for medical care. Testicular torsion and epididymo-orchitis are two diagnoses for which early detection is critical and their sonographic imaging features have been thoroughly described in the radiologic literature. Other important conditions for which radiologists must be aware have received less attention. Read More

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http://dx.doi.org/10.1007/s10140-018-1606-yDOI Listing
August 2018
14 Reads

Idiopathic scrotal fat necrosis: an unusual cause of scrotal pain.

BMJ Case Rep 2018 Apr 17;2018. Epub 2018 Apr 17.

Paediatric Surgery, John Hunter Children's Hospital, New Lambton, Australia.

The clinical differential diagnosis of scrotal pain with a mass in a prepubertal boy is difficult. Often conditions such as testicular torsion and epididymo-orchitis are diagnosed. We present a rare cause of scrotal pain, idiopathic scrotal fat necrosis. Read More

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http://dx.doi.org/10.1136/bcr-2017-224087DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5905786PMC
April 2018
6 Reads