Clinical Predictors of Testicular Torsion in Children

Objective To distinguish the prognostic factors that decrease the probability of a negative exploration for “acute scrotum.” In some institutes, patients with “acute scrotum” undergo immediate exploration after clinical evaluation. Because testicular torsion (TT) accounts only for a fraction of thes...

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Veröffentlicht in:Urology (Ridgewood, N.J.) N.J.), 2012-03, Vol.79 (3), p.670-674
Hauptverfasser: Boettcher, Michael, Bergholz, Robert, Krebs, Thomas F, Wenke, Katharina, Aronson, Daniel C
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Sprache:eng
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Zusammenfassung:Objective To distinguish the prognostic factors that decrease the probability of a negative exploration for “acute scrotum.” In some institutes, patients with “acute scrotum” undergo immediate exploration after clinical evaluation. Because testicular torsion (TT) accounts only for a fraction of these cases, most infants can be treated conservatively. Methods We performed a retrospective study of all patients treated at our institute from January 2008 to December 2009 for the diagnosis of “acute scrotum.” Differences between groups were calculated using the chi-square test or analysis of variance and Mann-Whitney-Wilcoxon test for univariate or multivariate analysis, expressed as odds ratios (ORs) and 95% confidence intervals (CIs). Results The data from 138 patients were analyzed. The mean age was 9 years, 8 months. Of the 138 patients, 19 (13.8%) had TT. This group was compared with the boys without TT at exploration. The patients with TT were older on average (11 years, 1 month vs 9 years, 1 month, p = .035). Pain for
ISSN:0090-4295
1527-9995
DOI:10.1016/j.urology.2011.10.041