TESTICULAR SALVAGE AND AGE-RELATED DELAY IN THE PRESENTATION OF TESTICULAR TORSION
TESTICULAR SALVAGE AND AGE-RELATED DELAY IN THE PRESENTATION OF TESTICULAR TORSION
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DOI：
10.1016/s0022-5347(17)38875-4
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发表时间：
1989-09-01
影响因子：
6.6
通讯作者：
CROMIE, WJ
中科院分区：
文献类型：
--
作者：
BARADA, JH;WEINGARTEN, JL;CROMIE, WJ
Testicular torsion represents a continuing surce of morbidity among male patients. Early diagnosis and surgical exploration improve testis salvage but even this approach will result in orchiectomy if there is excessive delay in patient presentation. A 10-year retrospective review of testicular torsion was performed. The interval between onset of scrotal pain and presentation to the emergency department was determined. A specific age-related delay in presentation was identified between patients less than 18 years old (group 1, median delay 20 hours) and those greater than 18 years old (group 2, median delay 4 hours p less than 0.001). At exploration 44 per cent of the group 1 patients required orchiectomy versus 8 per cent in group 2. Patients less than 18 years old are a high risk group for testicular loss after torsion and represent more than 90 percent of the orchiectomies performed. We believe that this group should be targeted for improved health education, emphasizing early evaluation of scrotal pain to improve testicular salvage.
