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[Testicular torsion between 6 and 12 hours. II]
E A Granados1, P Caicedo, J M Garat
1Servicio de Uro-Pediatría, Fundación Puigvert, Barcelona, España.
Objective:
To analyze the characteristics of testicular torsion between 6-12 hours.
Methods:
The records of 47 patients treated for testicular torsion within 6-12 hours were reviewed. We evaluated the reason for consultation, previous patient history, clinical features, urinalysis findings, diagnostic methods and surgical findings.
Results:
The reason for consultation was scrotal pain in 42 patients; 17% of the patients had a previous history of ascending testis. Orchidectomy was required in 17% of the patients.
Conclusions:
The need for performing orchidectomy is higher in cases with testicular torsion diagnosed between 6-12 hours. The results of urinalysis are generally normal. The clinical findings and the diagnostic techniques are useful in making early diagnosis and instituting early treatment.