The theoretical method and clinical application of testicular torsion

Li, Xian-Ling; Lu, Shouyan; Liu, Tingting; Zhang, Qinming; Zhang, Weiping; Jia, Liqun

doi:10.1007/s11255-020-02382-5

Cited by 7 publications

(10 citation statements)

References 18 publications

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“…A nonsystematic manual review of the literature found only one article that described a similar, but somewhat different technique. Li et al 6 reported a technique where the testicle is lifted by the right hand and the spermatic cord is retracted by the left hand. The benefit of the technique is to allow the testicle to spontaneously unravel.…”

Section: Discussionmentioning

confidence: 99%

The Torsed Testicle Traction Technique and 2 Case Reports

Mellick

Watters

2022

Pediatr Emer Care

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Section: Discussionmentioning

confidence: 99%

The Torsed Testicle Traction Technique and 2 Case Reports

Mellick

Watters

2022

Pediatr Emer Care

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“…(b) After receiving their consent, let the patient stand, gently pull the testicle longitudinally, and release quickly. For those with mild swelling in a short time, the testicle may retract upward and rotate to the opposite direction of the torsion [similar to the principle of elastic retraction ( 9 )]. (c) Ask the patient to lie flat on the bed and let him relax.…”

Section: Methodsmentioning

confidence: 99%

“…Patient's pain, incomplete de-torsion, and the possibility of rotating the testicle in the wrong direction hampered the success of this technique ( 12 ). Possibly due to case selection bias, the success rate of manual reduction of TT varies significantly, ranging from 26% to 95.1% ( 7 , 9 – 11 ). In previous reports of manual reduction, most of the patients were recommended and received surgical exploration (most orchiopexy and few orchiectomy) after successful reduction, while very few patients chose not to undergo surgery ( 7 , 9 – 11 ).…”

Section: Introductionmentioning

confidence: 99%

Manual reduction in testicular torsion and subsequent treatment after successful reduction: a series of reports in a single institution

Qi,

Yu,

Ding

et al. 2024

Front. Pediatr.

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IntroductionTo explore the factors affecting the success of testicular torsion manual reduction and the safety of subsequent conservative treatment after successful reduction.MethodsClinical data of 66 patients with testicular torsion treated in our emergency department from February 2017 to February 2022 were retrospectively collected. Manual reduction without anesthesia was performed in 19 patients. Patients with successful manual reduction chose different subsequent treatments according to the wishes of themselves and their guardians, including continuing conservative treatment and surgical exploration. Relevant clinical data were collected and analyzed.ResultsManual reduction was successful in 11 patients (11/19). Seven of them chose to continue conservative treatment, and four underwent surgical exploration immediately. Among the 7 patients who were treated conservatively, 3 underwent surgical treatment due to scrotal discomfort or testicular torsion at different stages, and the remaining 4 patients showed no recurrence of torsion during follow-up. Compared with other patients, patients with successful manual reduction had the shorter duration of pain (p < 0.05). The time from visiting our hospital to surgery in patients who attempted manual reduction was slightly shorter than those who underwent surgery directly (p > 0.05). The testes of these 11 patients were all successfully preserved.ConclusionsThe short duration of pain may contribute to the success of manual reduction, and manual reduction did not increase the preparation time before surgery. Due to the unpredictable risk of recurrence, immediate surgical treatment is still recommended, or postponed elective surgical treatment should be offered in the next days or weeks.

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“…La détorsion manuelle « doit être facile, ou ne pas être »: il ne faut donc pas insister en cas de résistance, ou si la douleur augmente (présence de plusieurs tours de spire) [ 20 ].…”

Section: Prise En Chargeunclassified

Prise en charge de la torsion du testicule par un chirurgien généraliste isolé en Afrique

Long-Depaquit

Chiron

Bourgouin

et al. 2022

Mtsi

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Résumé L’apparition d’une douleur scrotale brutale et intense pose plusieurs problèmes quand elle survient chez un homme jeune en Afrique. Parmi les étiologies possibles, la torsion testiculaire est l’urgence chirurgicale à écarter, car au-delà de 6 heures d’évolution le pronostic fonctionnel du testicule est engagé. L’évolution septique vers une fonte purulente, en cas de torsion dépassée, est aussi possible. D’incidence légèrement inférieure à celle des pays occidentaux, la méconnaissance de cette pathologie par les acteurs de santé de proximité, la précarité ou l’isolement sanitaire de certaines populations dans certaines régions sous-médicalisées, contribuent aux retards diagnostique et thérapeutique. Cela conduit souvent à une évolution péjorative, la perte du testicule étant directement corrélée au délai de prise en charge. La torsion testiculaire a ainsi été identifiée comme l’une des principales causes d’infertilité masculine en Afrique. Pourtant, le diagnostic clinique et le traitement chirurgical nécessitent peu de moyens et restent accessibles dans un milieu à faibles ressources ou en conditions précaires. Cet article reprend le tableau clinique de torsion du cordon spermatique et la technique d’orchidopexie.

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The theoretical method and clinical application of testicular torsion

Cited by 7 publications

References 18 publications

The Torsed Testicle Traction Technique and 2 Case Reports

The Torsed Testicle Traction Technique and 2 Case Reports

Manual reduction in testicular torsion and subsequent treatment after successful reduction: a series of reports in a single institution

Prise en charge de la torsion du testicule par un chirurgien généraliste isolé en Afrique

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