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Testicular appendage torsion in children
Keiichiro Tanaka1, Haruki Kato1, Koki Nikai1
1Department of Pediatric Surgery, Juntendo University Urayasu Hospital, Urayasu-shi, Japan.
Summary
Testicular appendage torsion (TAT) in children is often managed surgically. Surgery is safe, prevents recurrence, and leads to shorter hospital stays compared to conservative treatment.
Area of Science:
- Pediatric Urology
- Surgical Emergencies
- Adolescent Medicine
Background:
- Testicular appendage torsion (TAT) is a common cause of acute scrotum in children.
- While conservative management is sometimes used, surgical intervention is often necessary.
- Understanding TAT's incidence, presentation, and treatment is crucial for timely care.
Purpose of the Study:
- To examine the incidence, clinical findings, etiology, and treatment outcomes of testicular appendage torsion (TAT).
- To compare the effectiveness of surgical versus conservative management for TAT.
- To identify predictors for surgical intervention and assess its impact on hospitalization duration.
Main Methods:
- Retrospective review of 101 boys (≤15 years) with TAT from January 2012 to September 2020.
- Surgical treatment was indicated for uncertain torsion diagnosis or recurrent pain.
- Conservative treatment was used for patients with hard scrotum or scrotal erythema.
Main Results:
- The incidence of TAT was highest in boys aged 8-11 years.
- 66.3% of patients underwent inpatient surgery, with a median hospitalization of 2.0 days.
- Surgical treatment resulted in significantly shorter hospital stays than inpatient conservative treatment (3.5 days).
Conclusions:
- Surgical treatment for TAT is safe, effective, and shortens hospital stays.
- Early surgical intervention is recommended for TAT patients with severe inflammation signs.
- Surgery effectively prevents recurrence of TAT and contralateral testicular torsion.
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