Çocuklarda Testis Torsiyonu: 10 Yıllık Retrospektif Bir Çalışma

Abstract

Objective:The purpose of the present study is to determine the clinical, radiological and pathological characteristics of testicular torsion patients, the intervention techniques applied according to time to hospital admission of the patient and testis-saving rates in the childhood age group. Material and Methods:This retrospective study included the patients aged between 0-18 years who applied to pediatric surgery clinic due to the complaint of abdominal pain or scrotal pain between January 2011 to January 2021 and were diagnosed with testicular torsion after evaluation. The patient age, hospital admission complaint, duration of the symptoms, month of hospital admission, lateralization of the affected testicle, preoperative diagnostic studies, type of the implemented intervention (orchiectomy/detorsion) and postoperative diagnosis were determined. Hematoxylin-Eosin-stained archive slides of the materials sent to pathology department for examination were reviewed by two pathologists. Results:In this period of 10 years; 28 patients aged between 0-18 years admitted to our hospital because of testicular torsion. Scrotal pain and tenderness were present in all the patients (100%). Of the patients; 4 (14.3%) were neonatal and 21 (75%) were between the ages 12-18 years. Testicular parenchyma could not be macroscopically selected in the examination of orchiectomy materials and the materials were hemorrhagic. Hemorrhagic infarction was detected by microscopic examination. Conclusion:Acute scrotum is a frequently seen surgical emergency in the childhood period. There are many entities that may cause acute scrotum; performing differential diagnosis accurately and timely can protect the patient from unnecessary surgery and testicular loss.