Parenchymal echo texture predicts testicular salvage after torsion: potential impact on the need for emergent exploration

The Journal of Urology
Jonathan D KayeLane S Palmer

Abstract

In the setting of signs and symptoms of testicular torsion the absence of diastolic flow and/or color flow on Doppler ultrasound has traditionally prompted emergent scrotal exploration. This practice emanates largely from the difficulty on ultrasound of distinguishing salvageable torsed testes from those that are not salvageable. We identified ultrasound findings predictive of testicular viability or the lack thereof. We retrospectively reviewed the charts of all boys who underwent scrotal exploration for signs and symptoms of torsion during a 4-year period. In those who underwent preoperative Doppler ultrasound of the scrotum ultrasound findings were reviewed, as were the operative dictations. In patients who underwent orchiectomy the pathology reports were also reviewed. In patients in whom the torsed testis appeared viable and who underwent orchiopexy followup data were reviewed when available. Emergency room charts were also reviewed to ascertain, when documented, the duration of pain before presentation to the emergency room and the interval between ultrasound and operating room. During this period 55 boys underwent exploration after preoperative scrotal Doppler ultrasound revealed absent diastolic flow and/or color flow D...Continue Reading

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Citations

Apr 27, 2013·AJR. American Journal of Roentgenology·Teresa LiangMichelle Noga
Aug 31, 2010·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·F M RalahyL Andriamanarivo
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Jul 13, 2012·Deutsches Ärzteblatt International·Patrick Günther, Iris Rübben
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