Testicular Torsion Postorchiopexy: A Case of Twisted Hammock

Wang, Michael; Bukavina, Laura; Mishra, Kirtishri; Woo, Lynn L.; Ross, Jonathan H.; Gnessin, Ehud

doi:10.1016/j.urology.2018.12.032

Cited by 3 publications

(26 citation statements)

References 8 publications

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“…27 The methodological quality of each of the included articles is described in Table 1. A total of 11 (42.3%) studies were ranked as high quality, 12,14,15,17,21,23,24,26,27,36,37 seven (26.9%) as intermediate quality 13,16,20,22,[29][30][31] and 8 (30.1%) as low quality. 18,19,25,28,[32][33][34][35] Details of the included articles are described in Tables 2-4.…”

Section: Study Metadatamentioning

confidence: 99%

“…Among the included articles, 10 (38.5%) emanated from the USA, 15,16,[19][20][21][22]26,[31][32][33] five (19.2%) from the UK, 23,24,27,29,30 two (7.7%) each from Ireland, 13,37 Denmark, 35,36 and Germany 28,34 and one (3.8%) each from New Zealand, 17 Israel, 12 the Netherlands, 14 France 25 and Qatar. 18 Age range of study subjects…”

Section: Region Of Publication Of Included Articlesmentioning

confidence: 99%

“…The age range of all included subjects ranged from 5-35 years. The median (IQR) age of the pooled cohort was 18 (15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26) years. Approximately three-quarter of the pooled subjects (n = 34, 73.9%) were younger than 25 years of age.…”

Section: Region Of Publication Of Included Articlesmentioning

confidence: 99%

“…[12][13][14][15][16][17][19][20][21][22][23][24][27][28][29][30][31][32][33][34] Time to ED presentation from presumed onset of RTT Among the 36 (78.3%) cases in whom time to ED presentation from the presumed onset of RTT was reported, the median (IQR) time was 6 (3-36) hours after the onset of testicular pain. [12][13][14][15][16][17][18][19][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37] Presenting features of RTT The most common signs and symptoms on RTT were testicular pain (n = 46, 100%), testicular swelling (n = 28, 60.9%), [13][14][15]1...…”

Section: Region Of Publication Of Included Articlesmentioning

confidence: 99%

“…[12][13][14][15][16][17][18][19][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35][36][37] Presenting features of RTT The most common signs and symptoms on RTT were testicular pain (n = 46, 100%), testicular swelling (n = 28, 60.9%), [13][14][15]18,19,23,24,26,27,[29][30][31][32]34,37 a riding high testicle (n = 16, 34.8%), 13,16,[19][20][21][22]24,26,27,30,[35]…”

Section: Region Of Publication Of Included Articlesmentioning

confidence: 99%

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Recurrent testicular torsion post orchidopexy ‐ an occult emergency: a systematic review

Welie

Adam

et al. 2022

ANZ Journal of Surgery

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Background: Recurrent Testicular Torsion (RTT) is a rarely reported event after previous testicular torsion (TT) repair. Both conditions have similar signs and symptoms. Various techniques have been attempted to reduce the incidence of retorsion. This review assesses the presentation, diagnosis, risk factors, management and outcomes associated with RTT. Methods: After PROSPERO Registration (CRD42021258997), a systematic search of PubMed, Google Scholar, Embase, Scopus, Web of Science, Cochrane Database of Systematic Reviews, Global Index Medicus and Cumulative Index to Nursing and Allied Health Literature (CIANHL) was performed using specific search terms. Study metadata including patient demographics, orchidopexy techniques, RTT rates and RTT timing were extracted. Results: Twenty-six articles, comprising 12 case series and 14 case reports, with a total of 46 patients were included. Overall, the median (IQR) age of the pooled cohort was 18 (15-26) years, the median (IQR) time to presentation was 6 (3-36) hours from the onset of testicular pain. The most common presenting features were testicular pain (100%), testicular swelling (60.9%) and a high riding testicle (34.8%). The left testicle was most commonly affected (63.0%), RTT was on the ipsilateral side in relation to the primary episode of TT in 52.2% of cases, the median (IQR) interval between torsion and retorsion events was 4 (1.3-10.0) years, non-absorbable sutures were the most common suture material used during orchidopexy after RTT (88.9%). Conclusion: RTT is a rare presentation to the Emergency Department. Even with a prior history of TT, RTT should be considered in patients presenting with classic symptoms.

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Section: Study Metadatamentioning

confidence: 99%

Section: Region Of Publication Of Included Articlesmentioning

confidence: 99%

Section: Region Of Publication Of Included Articlesmentioning

confidence: 99%

Section: Region Of Publication Of Included Articlesmentioning

confidence: 99%

Section: Region Of Publication Of Included Articlesmentioning

confidence: 99%

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Recurrent testicular torsion post orchidopexy ‐ an occult emergency: a systematic review

Welie

Adam

et al. 2022

ANZ Journal of Surgery

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Anatomical risk factors for spermatic cord torsion and their involvement in the choice of orchidopexy technique

2021

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Recidiverende testiculaire torsie 27 jaar na eerdere orchidopexie: casusbespreking

Nougon,

Lefebvre,

Duesberg

2024

Tijdschr Geneesk

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Recurrent testicular torsion 27 years after previous orchidopexy: a case report A recurrent testicular torsion after a previous orchidopexy is a rare phenomenon that requires a high index of suspicion to avoid misdiagnosis and delayed treatment. This case intends to emphasize the importance of considering a recurrent testicular torsion in the differential diagnosis of acute scrotal pain, regardless of the patient’s age. The case involves a 45-year-old man with a history of a bilateral testicular fixation for a testicular torsion at the age of 18. The patient presented with recurrent testicular pain, despite the fact that both testes previously had been fixed to the scrotal wall. This case illustrates that a recurrent testicular torsion can manifest even when the testis is fixed to the scrotal wall. This emphasizes the importance of including a recurrent testicular torsion in the differential diagnosis of acute scrotal pain. Furthermore, during the surgical intervention particular attention should be given to ensuring a proper fixation of both testes using non-absorbable sutures at a minimum of 2 points to reduce the risk of a recurrent torsion. A recurrent testicular torsion following a previous orchidopexy is a rare condition that requires vigilance in case of acute scrotal pain. This case report reinforces the need for a thorough examination and emphasizes the importance of safe testicular fixation during surgery to minimize the risk of recurrence. The threshold for surgical exploration should always be kept low, even after a previous orchidopexy.

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Testicular Torsion Postorchiopexy: A Case of Twisted Hammock

Cited by 3 publications

References 8 publications

Recurrent testicular torsion post orchidopexy ‐ an occult emergency: a systematic review

Recurrent testicular torsion post orchidopexy ‐ an occult emergency: a systematic review

Anatomical risk factors for spermatic cord torsion and their involvement in the choice of orchidopexy technique

Recidiverende testiculaire torsie 27 jaar na eerdere orchidopexie: casusbespreking

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