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[Testicular torsion after 12 hours. III]
E A Granados1, P Caicedo, J M Garat
1Servicio de Uro-Pediatría, Fundación Puigvert, Barcelona, España.
Objective:
To analyze the damage caused by testicular torsion after 12 hours.
Methods:
The records of 59 patients treated for testicular torsion after 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 81% of the patients: 61% were referred to the left testis. Seventeen percent of the patients had a previous history of ascending testis. Scrotal US was useful in making the diagnosis in 92% of the cases.
Conclusions:
Testicular damage or loss can occur if testicular torsion is diagnosed after 12 hours. The importance of early diagnosis and treatment is emphasized.