Fixation of the testis

Frank, Jacob; O’Brien, MF

doi:10.1046/j.1464-4096.2001.011019.x

Cited by 33 publications

(12 citation statements)

References 26 publications

(24 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…(1) However, there are some reports of failed suture fixation, combined with concerns that violation of the blood-testis barrier may adversely affect fertility and increase the risk of testicular malignancy. (20) Several groups have reported decreases in testicular function even after removal of the twisted testes, thus postulating that the ipsilaterally torsed spermatic cord releases substances that act remotely on the contralateral testis. (21) Therefore, further prospective study with long-term clinical follow-up for these patients is mandatory.…”

Section: Discussionmentioning

confidence: 99%

The dilemma in the diagnosis of acute scrotum: clinical clues for differentiating between testicular torsion and epididymo-orchitis

Yu¹,

Wang²,

Chen³

et al. 2012

Biomed J

View full text Add to dashboard Cite

Background: Acute painful scrotum is one of the most challenging urological emergencies.Irreversible parenchymal damage will develop if a testicle is twisted. The aim of the study was to determine the importance of different clinical clues to help differentiate the causes of this devastating condition. Methods:The medical charts of teenagers with acute scrotal pain between January 2003 and December 2008 were reviewed retrospectively. Results:Seventy-six patients were included in this study, including 47 initially suspected of having testicular torsion and 29 suspected of having epididymoorchitis. Testicular torsion was confirmed in 39 of the suspected 47 cases after surgical exploration. Twnety-one of these 39 testicular torsion patients underwent orchiectomy, and 18 were rescued and underwent orchiopexy. The mean pain duration was significantly longer in the orchiectomy group than the orchiopexy group (38.05 hours vs 14.14 hours, p = 0.009). In the testicular torsion group, fewer patients had elevated C-reactive protein levels no patients had pyuria, and the pain duration was shorter compared with the epididymo-orchitis group (

show abstract

Section: Discussionmentioning

confidence: 99%

The dilemma in the diagnosis of acute scrotum: clinical clues for differentiating between testicular torsion and epididymo-orchitis

Yu¹,

Wang²,

Chen³

et al. 2012

Biomed J

View full text Add to dashboard Cite

show abstract

“…Several studies, in rats, have shown better circumferential adherence and less testicular damage with the dartos pouch technique [18e21]. The efficacy of this technique in humans has been validated [22,23]. This evidence suggests that if fixation is to be done it should be performed using the sutureless dartos pouch technique, as recommended in urological textbooks [24].…”

Section: Discussionmentioning

confidence: 99%

“…This evidence suggests that if fixation is to be done it should be performed using the sutureless dartos pouch technique, as recommended in urological textbooks [24]. However, although there is scientific material to advocate this specific technique, it is probably true that few surgeons actually use it [23].…”

Section: Discussionmentioning

confidence: 99%

The return of the solitary testis

Harper¹,

Gatibelza²,

Michel³

et al. 2011

Journal of Pediatric Urology

View full text Add to dashboard Cite

“…The dartos pouch method remains the best method for sutureless anchoring of undescended testis [4]. Most surgeons use blunt-tipped hemostatic forceps for the creation of this pouch but difficulty may be encountered due to unsteady scrotal layers [1].…”

Section: Discussionmentioning

confidence: 99%