Long-term follow-up results of testicular torsion in children  

作　　者：Cheng-Jun Yu Jie Zhao Jin Luo Yi-Fan Hong Tian-Xin Zhao Sheng Wen Li Jiang Tao Lin Da-Wei He Guang-Hui Wei Sheng-De Wu 

机构地区：[1]Department of Urology,Children's Hospital of Chongqing Medical University,Chongqing 400014,China [2]Chongqing Key Laboratory of Children Urogenital Development and Tissue Engineering,Chongqing 400014,China [3]National Clinical Research Center for Child Health and Disorders,Chongqing 400014,China [4]China International Science and Technology Cooperation Base of Child Development and Critical Disorders,Chongqing 400014,China [5]Chongqing Key Laboratory of Pediatrics Chongqing,Chongqing 400014,China [6]Ministry of Education Key Laboratory of Child Development and Disorders,Chongqing 400014,China [7]Department of Pediatric Urology,Guangzhou Women and Children's Medical Center,Guangzhou Medical University,Guangzhou 510620,China [8]Department of Urology,The First Affiliated Hospital of Chongqing Medical University,Chongqing 400042,China

出　　处：《Asian Journal of Andrology》2022年第6期653-659,共7页亚洲男性学杂志（英文版）

基　　金：supported by the National Natural Science Foundation of China(No.81873828);Chongqing Municipal Health Commission(High-Level Medical Reserved Personnel Training Project of Chongqing),the Innovation Program for Chongqing's Overseas Returnees(cx2019030);the Senior Medical Talents Program of Chongqing for Young and Middle-Aged.

摘　　要：December 2020 to investigate the long-term follow-up results after testicular torsion(TT)in children.Boys with TT were divided into the salvage orchiopexy group and the orchiectomy group,and the baseline characteristics,ultrasonographic indications,intraoperative findings,testicular volumes,and adverse events during follow-up were compared.A total of 145 cases were included in this study.Approximately 56.6%of patients who underwent salvage orchiopexy had testicular atrophy(TA),and the median testicular volume loss of the testes was 57.4%.Age less than 6 years,delayed surgery,and intraoperative poor blood supply were associated with TA in pediatric TT after orchiopexy.Most atrophied testes appeared within 3-6 months after surgery.Compared with the corresponding age-matched healthy controls,the contralateral testicular volumes were larger in the orchiopexy(P=0.o01 without TA,and P=0.042 with TA)and orchiectomy groups(P=0.033).The adverse events were comparable in patients with orchiectomy or orchiopexy.In summary,follow-up before 3 months after surgery may not offer sufficient clinical value,while that 3 months after surgery should be regarded as the first follow-up time for testicular monitoring.The contralateral testes of patients with TT showed compensatory hypertrophy.We suggest performing orchiectomy when torsed testes are surgically assessed as Arda gradeⅢor inviable.

关 键 词：LONG-TERM ORCHIECTOMY PEDIATRICS salvage orchiopexy testicular torsion 

分 类 号：R726.9[医药卫生—儿科]