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[Testicular torsion before 6 hours. I]
E A Granados1, P Caicedo, J M Garat
1Servicio de Uro-pediatría, Fundación Puigvert, Barcelona, España.
Objective:
To analyze the characteristics of testicular torsion within the first 6 hours, and to emphasize the need for early diagnosis and treatment.
Methods:
The records of 33 patients treated for testicular torsion within the first 6 hours were reviewed. We evaluated the reason for consultation, previous patient history, clinical features, urinalysis findings, diagnostic methods and surgical findings.
Results:
The most common reason for consultation was scrotal pain. Twelve patients had a previous history of ascending testis. Urinalysis was normal in 25 patients. Diagnosis was based on the clinical findings. Thirty-two testes were preserved.
Conclusions:
Diagnosis of testicular torsion within the first 6 hours are usually based on the clinical findings. Early treatment can achieve testicular viability.