Recurrences of testicular torsion after manual detorsion: a single institution experience

Testicular torsion needs prompt detorsion to prevent testicular necrosis. Manual detorsion has recently gained acceptance as an initial treatment. The aim of this study was to assess the recurrence rate of testicular torsion in patients who underwent successful detorsion but did not receive immediate orchiopexy. Among the 27 patients, 3 (11%) experienced the recurrences 35, 80, and 340 days after successful detorsions. In our limited cohort, recurrences did not occur during the acute phase after the detorsions; instead, they occurred months later. Therefore, orchiopexy should be timely performed after manual detorsion.

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Publication Details

Journal
Pediatric Emergency Medicine Journal
Published
2025-03-30
DOI
https://doi.org/10.22470/pemj.2025.01228
Primary Topic
Testicular diseases and treatments
Type
article
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article

Recurrences of testicular torsion after manual detorsion: a single institution experience

Takahiro Hosokawa
Pediatric Emergency Medicine Journal
Testicular diseases and treatments
article

Recurrences of testicular torsion after manual detorsion: a single institution experience

Takahiro Hosokawa
article en

Abstract

Testicular torsion needs prompt detorsion to prevent testicular necrosis. Manual detorsion has recently gained acceptance as an initial treatment. The aim of this study was to assess the recurrence rate of testicular torsion in patients who underwent successful detorsion but did not receive immediate orchiopexy. Among the 27 patients, 3 (11%) experienced the recurrences 35, 80, and 340 days after successful detorsions. In our limited cohort, recurrences did not occur during the acute phase after the detorsions; instead, they occurred months later. Therefore, orchiopexy should be timely performed after manual detorsion.

Pediatric Emergency Medicine JournalVol. 12(2)
Saitama Children's Medical Center (JP)
Openalex Percentile: Top 89%
Testicular diseases and treatments
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