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[Clinical characterization of incomplete testicular torsion in children]

Xiang Guo1, Shuang Li1, Hai-Tao Chen1

  • 1Department of Urology, Wuhan Children's Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei 430000, China.

Zhonghua Nan Ke Xue = National Journal of Andrology
|April 2, 2020
PubMed

Insights

Incomplete testicular torsion (ITT) in children often occurs at younger ages and involves less than 360 degrees of rotation. Prompt diagnosis using color Doppler ultrasound is key, leading to a high testicular survival rate post-surgery.

Area of Science:

  • Pediatric Surgery
  • Urology
  • Diagnostic Imaging

Background:

  • Incomplete testicular torsion (ITT) is a urological emergency in children.
  • Understanding its clinical characteristics is crucial for timely diagnosis and management.
  • Early intervention significantly impacts testicular viability.

Purpose of the Study:

  • To analyze the clinical characteristics of incomplete testicular torsion (ITT) in children.
  • To enhance diagnostic insights and treatment strategies for ITT.
  • To evaluate the outcomes of surgical intervention for ITT.

Main Methods:

  • Retrospective study of 37 pediatric patients with ITT from April 2007 to April 2017.
  • Analysis of clinical data, physical examination, laboratory tests, and ultrasonography findings.
  • Evaluation of surgical treatment and postoperative follow-up outcomes.

Main Results:

  • ITT predominantly affected children aged 2-4 and 12-14 years, with a mean age of 5.7 years.
  • Preoperative color Doppler ultrasound revealed reduced blood flow signals in 83.8% of affected testes.
  • All affected testes were preserved during surgery, with a 16.2% rate of postoperative testicular atrophy.

Conclusions:

  • ITT in children typically involves less than 360 degrees of torsion, often around 180 degrees.
  • Reduced testicular blood flow signals on Doppler ultrasound are a critical diagnostic indicator.
  • Surgical management of ITT in children yields a high testicular survival rate.
Abstract

Keywords:
childrentesticular atrophytesticular painincomplete testicular torsion

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