Differences in Clinical Characteristics Between Prepubescent and Postpubescent Males With Testicular Torsion
Testicular torsion represents a pediatric surgical emergency. In this 6-year study with 140 patients, prepubescent (
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| Veröffentlicht in: | Clinical pediatrics 2023-03, Vol.62 (3), p.209-214 |
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| container_title | Clinical pediatrics |
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| creator | Shields, Lisa B. E. Daniels, Michael W. Peppas, Dennis S. Rosenberg, Eran |
| description | Testicular torsion represents a pediatric surgical emergency. In this 6-year study with 140 patients, prepubescent ( |
| doi_str_mv | 10.1177/00099228221116705 |
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E. ; Daniels, Michael W. ; Peppas, Dennis S. ; Rosenberg, Eran</creator><creatorcontrib>Shields, Lisa B. E. ; Daniels, Michael W. ; Peppas, Dennis S. ; Rosenberg, Eran</creatorcontrib><description>Testicular torsion represents a pediatric surgical emergency. In this 6-year study with 140 patients, prepubescent (<13 years) and postpubescent (≥13 years) males with testicular torsion were identified. Prepubescent boys had a longer symptom duration (P = .016) and underwent more orchiectomies (P = .005) compared with postpubescent boys. The risk of orchiectomy decreased by 15% per 1-year increase in age (P = .002). Boys who underwent an orchiectomy had a longer symptom duration (P < .001), were younger (P = .002), had scrotal swelling (P = .001), scrotal erythema (P < .001), higher degrees of torsion (P = .036), and more left-sided surgeries (P = .014) compared with those who had an orchiopexy. Postpubescent boys were 63% less likely to receive an orchiectomy versus an orchiopexy compared with prepubescent boys. Pediatricians should be cognizant of the age discrepancies between prepubescent and postpubescent males with testicular torsion and educate parents about the importance of urgent evaluation in the Emergency Department to reduce the likelihood of an orchiectomy.</description><identifier>ISSN: 0009-9228</identifier><identifier>EISSN: 1938-2707</identifier><identifier>DOI: 10.1177/00099228221116705</identifier><identifier>PMID: 35982605</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Child ; Emergency medical care ; Erythema ; Humans ; Male ; Males ; Orchiectomy ; Orchiopexy ; Pediatrics ; Retrospective Studies ; Spermatic Cord Torsion - diagnosis ; Spermatic Cord Torsion - surgery ; Testes ; Time Factors</subject><ispartof>Clinical pediatrics, 2023-03, Vol.62 (3), p.209-214</ispartof><rights>The Author(s) 2022</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c368t-4f69726b2fddc430ecee1591c81b08bae3bdd25322e237d2916de475a0026ef03</citedby><cites>FETCH-LOGICAL-c368t-4f69726b2fddc430ecee1591c81b08bae3bdd25322e237d2916de475a0026ef03</cites><orcidid>0000-0002-1526-4063</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/00099228221116705$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/00099228221116705$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35982605$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shields, Lisa B. E.</creatorcontrib><creatorcontrib>Daniels, Michael W.</creatorcontrib><creatorcontrib>Peppas, Dennis S.</creatorcontrib><creatorcontrib>Rosenberg, Eran</creatorcontrib><title>Differences in Clinical Characteristics Between Prepubescent and Postpubescent Males With Testicular Torsion</title><title>Clinical pediatrics</title><addtitle>Clin Pediatr (Phila)</addtitle><description>Testicular torsion represents a pediatric surgical emergency. In this 6-year study with 140 patients, prepubescent (<13 years) and postpubescent (≥13 years) males with testicular torsion were identified. Prepubescent boys had a longer symptom duration (P = .016) and underwent more orchiectomies (P = .005) compared with postpubescent boys. The risk of orchiectomy decreased by 15% per 1-year increase in age (P = .002). Boys who underwent an orchiectomy had a longer symptom duration (P < .001), were younger (P = .002), had scrotal swelling (P = .001), scrotal erythema (P < .001), higher degrees of torsion (P = .036), and more left-sided surgeries (P = .014) compared with those who had an orchiopexy. Postpubescent boys were 63% less likely to receive an orchiectomy versus an orchiopexy compared with prepubescent boys. Pediatricians should be cognizant of the age discrepancies between prepubescent and postpubescent males with testicular torsion and educate parents about the importance of urgent evaluation in the Emergency Department to reduce the likelihood of an orchiectomy.</description><subject>Child</subject><subject>Emergency medical care</subject><subject>Erythema</subject><subject>Humans</subject><subject>Male</subject><subject>Males</subject><subject>Orchiectomy</subject><subject>Orchiopexy</subject><subject>Pediatrics</subject><subject>Retrospective Studies</subject><subject>Spermatic Cord Torsion - diagnosis</subject><subject>Spermatic Cord Torsion - surgery</subject><subject>Testes</subject><subject>Time Factors</subject><issn>0009-9228</issn><issn>1938-2707</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU9PwzAMxSMEYmPwAbigSFy4dDhJ27RHGH-lIXYY4lilqcuCunQkrRDfnkwbIIE4WbJ_7_nJJuSYwZgxKc8BIM85zzhnjKUSkh0yZLnIIi5B7pLheh6tgQE58P4VgAlIxD4ZiCTPeArJkDRXpq7RodXoqbF00hhrtGroZKGc0h064zujPb3E7h3R0pnDVV-i12g7qmxFZ63vfjoPqglGz6Zb0DmulX2jHJ23zpvWHpK9WjUej7Z1RJ5urueTu2j6eHs_uZhGWqRZF8V1mkuelryuKh0LQI3IkpzpjJWQlQpFWVU8EZwjF7LiOUsrjGWiAHiKNYgROdv4rlz71ocYxdKEeE2jLLa9L8J54kyKWPCAnv5CX9ve2ZAuUDLOIIZYBoptKO1a7x3WxcqZpXIfBYNi_YrizyuC5mTr3JdLrL4VX7cPwHgDePWCP2v_d_wE-9ORNQ</recordid><startdate>202303</startdate><enddate>202303</enddate><creator>Shields, Lisa B. 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E. ; Daniels, Michael W. ; Peppas, Dennis S. ; Rosenberg, Eran</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c368t-4f69726b2fddc430ecee1591c81b08bae3bdd25322e237d2916de475a0026ef03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Child</topic><topic>Emergency medical care</topic><topic>Erythema</topic><topic>Humans</topic><topic>Male</topic><topic>Males</topic><topic>Orchiectomy</topic><topic>Orchiopexy</topic><topic>Pediatrics</topic><topic>Retrospective Studies</topic><topic>Spermatic Cord Torsion - diagnosis</topic><topic>Spermatic Cord Torsion - surgery</topic><topic>Testes</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shields, Lisa B. E.</creatorcontrib><creatorcontrib>Daniels, Michael W.</creatorcontrib><creatorcontrib>Peppas, Dennis S.</creatorcontrib><creatorcontrib>Rosenberg, Eran</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Chemoreception Abstracts</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shields, Lisa B. E.</au><au>Daniels, Michael W.</au><au>Peppas, Dennis S.</au><au>Rosenberg, Eran</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Differences in Clinical Characteristics Between Prepubescent and Postpubescent Males With Testicular Torsion</atitle><jtitle>Clinical pediatrics</jtitle><addtitle>Clin Pediatr (Phila)</addtitle><date>2023-03</date><risdate>2023</risdate><volume>62</volume><issue>3</issue><spage>209</spage><epage>214</epage><pages>209-214</pages><issn>0009-9228</issn><eissn>1938-2707</eissn><abstract>Testicular torsion represents a pediatric surgical emergency. In this 6-year study with 140 patients, prepubescent (<13 years) and postpubescent (≥13 years) males with testicular torsion were identified. Prepubescent boys had a longer symptom duration (P = .016) and underwent more orchiectomies (P = .005) compared with postpubescent boys. The risk of orchiectomy decreased by 15% per 1-year increase in age (P = .002). Boys who underwent an orchiectomy had a longer symptom duration (P < .001), were younger (P = .002), had scrotal swelling (P = .001), scrotal erythema (P < .001), higher degrees of torsion (P = .036), and more left-sided surgeries (P = .014) compared with those who had an orchiopexy. Postpubescent boys were 63% less likely to receive an orchiectomy versus an orchiopexy compared with prepubescent boys. Pediatricians should be cognizant of the age discrepancies between prepubescent and postpubescent males with testicular torsion and educate parents about the importance of urgent evaluation in the Emergency Department to reduce the likelihood of an orchiectomy.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>35982605</pmid><doi>10.1177/00099228221116705</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-1526-4063</orcidid></addata></record> |
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| subjects | Child Emergency medical care Erythema Humans Male Males Orchiectomy Orchiopexy Pediatrics Retrospective Studies Spermatic Cord Torsion - diagnosis Spermatic Cord Torsion - surgery Testes Time Factors |
| title | Differences in Clinical Characteristics Between Prepubescent and Postpubescent Males With Testicular Torsion |
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