Our Experience in Treatment of Testicular Torsion in Children

A. Salokha, M. Zeliak, O. Fofanov, B. Zinyak, B. Babyak, Y. Dotsenko, O. Borys, M. Glahovych, I. Krasyvskyy, S. Pavlykyvskyy, V. Fofanov

Abstract


The objective of the research was to analyze personal experience and world literature on the diagnosis and treatment of boys with testicular torsion and to improve the process of providing specialized care.

Materials and methods. The study included 141 boys with testicular torsion. 133 patients underwent emergency surgery, 8 patients underwent manual detorsion.

Results. Treatment was successful in 88 patients; in 53 cases, orchiectomy was performed.

Conclusion. Personal observations and the analysis of the literature on testicular torsion in boys indicate the need for early diagnosis and immediate surgery.


Keywords


testicular torsion; detorsion testicle; orchiectomy; оrchiopexy; fixation of both testicles.

Full Text:

PDF

References


Voronyuk GM, Bychkov VA, Kirpatovskiy ID et al. Ostryye zabolevaniya organov moshonki u detey i podrostkov: klinika, operativnoye lecheniye, rezultaty katamnesticheskogo nablyudeniya. Pediatriya. 2008;87(1):90-94.

Gusak AV, Nikulenko AV, Abu Varda IF. Lechebno - diagnosticheskaya taktika pri perekrute yaichka u detey. Khirurgiya. Vostochnaya Yevropa. 2013;200-203.

Dotsenko YuR. Testykuliarni protezy u ditei z abdominalnym kryptorkhizmom. Ukraiinskyi naukovo-medychnyi molodizhnyi zhurnal. 2011;1:182-183.

Zeliak MV, Bilyshchuk IV. Suchasni pohliady na problemu perekrutu yaiechka u ditei. Urolohiia. 2010;184. Mater. ziizdu as. urolohiv Ukraiiny, 16-18 ver. 2010 r.

Ziniak BM, Dotsenko YuR, Koturbash RY. Testicular torsion in children. Galic'kij likars'kij visnik. 2012;19(2):115-116. [published in Ukrainian]

Prytula VP, Povorozniuk VS, Maksakova IS. Syndrom nabriakloii ta zbilshenoii kalytky u novonarodzhenykh i ditei rannioho viku: pytannia diahnostyky i likuvannia. Khirurh. dyt. viku. 2015;1-2:88-94.

Rusak PS, Rybalchenko IH, Rybalchenko VF. Perekrut yaiechka u novonarodzhenykh ditei. Schpyt. khirurh. 2013;128.

Akhtar T, Das PK, Singh N, Paramesh H. Simultaneous acute appendicitis with right testicular torsion. J Indian Assoc Pediatr Surg. 2012;17(2):82-83. DOI: https://doi.org/10.4103/0971-9261.93974

DaJusta DG, Granberg CF, Villanueva C, Baker LA. Contemporary review of testicular torsion: new concepts, emerging technologies and potential therapeutics. J. Pediatr. Urol. 2013;9(6, Pt A):723-730. DOI: https://doi.org/10.1016/j.jpurol.2012.08.012

Fehér AM, Bajory Z. A review of main controversial aspects of acute testicular torsion. J. Acute Dis. 2016;5(1):1-8.

Kapoor S. Testicular torsion: a race against time. Int. J. Clin. Pract. 2008;6(5):821-827. DOI: https://doi.org/10.1111/j.1742-1241.2008.01727.x

Parlaktas BS, Atilgan D, Ozyurt H et al. The biochemical effects of ischemia-reperfusion injury in the ipsilateral and contralateral testes of rats and the protective role of melatonin. Asian J Androl. 2014;16(2):314-318. DOI: https://doi.org/10.4103/1008-682X.122202

Roth CC, Mingin GC, Ortenberg J. Salvage of bilateral asynchronous perinatal testicular torsion. J. Urol. 2011;6(1):185-191. DOI: https://doi.org/10.1016/j.juro.2011.01.013

Sharp VJ, Kieran K. Testicular torsion: diagnosis, evaluation, and management. Am. Fam. Physician. 2013;88(12):835-840. [PMid:24364548]




DOI: http://dx.doi.org/10.21802/acm.2017.2.9

Refbacks

  • There are currently no refbacks.




Copyright (c) 2017 A. Salokha, M. Zeliak, O. Fofanov, B. Zinyak, B. Babyak, Y. Dotsenko, O. Borys, M. Glahovych, I. Krasyvskyy, S. Pavlykyvskyy, V. Fofanov

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.


IFNMU Logo

Free counters!