Ultrasound heterogeneity as an indicator of testicular salvage in testicular torsion: A single center experience

作     者：Omran Hasan Mohamed Mubarak S.Mohamed Jawad Alwedaie Hasan Baksh Husain Alaradi Ameer Alarayedh Ali Alaradi Abdolsalam Ahmadi Akbar Jalal Omran Hasan;Mohamed Mubarak;S.Mohamed Jawad Alwedaie;Hasan Baksh;Husain Alaradi;Ameer Alarayedh;Ali Alaradi;Abdolsalam Ahmadi;Akbar Jalal

作者机构：Department of SurgerySalmaniya Medical Complex Ringgold Standard InstitutionManamaBahrain 

出 版 物：《Asian Journal of Urology》 (亚洲泌尿外科杂志（英文）)

年 卷 期：2022年第9卷第1期

页      面：57-62页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

基　　金：contributed equally to this work 

主　　题：Testis Testicular torsion Orchiopexy Orchiectomy Ultrasound Echotexture 

摘      要：Objective:Testicular torsion is a common urological emergency,mainly in the younger *** aim is to evaluate the efficacy and value of testicular echogenicity in predicting testicular ***:Patients who were older than 13 years of age and were discharged with the diagnosis of testicular torsion were *** obtained included demographic data,history,physical examination results,ultrasound findings including size,color Doppler flow,and echotexture,torsion degrees,and surgical *** addition,the histopathological findings of patients who underwent orchiectomy were ***:A total of 71 cases were diagnosed with testicular torsion between January 2016 to December *** mean age at presentation was 20.4±7.0 *** average time from the onset of pain until the presentation was 36.0±55.1 *** of the 71 ultrasound scans reviewed,45.1%showed homogenous echotexture and 54.9%showed heterogeneous echotexture of the affected *** scrotal exploration,the mean degree of torsion was 475.7±301.8 degrees;66.2%of the patients had a viable testis;and bilateral orchidopexy was *** remaining 33.8%had a non-viable *** echotexture was after an average of 13.5 h of scrotal pain,while heterogeneous echotexture presented after 53.7 h of scrotal *** was a statistically significant difference between the time of presentation and echotexture changes on scrotal ultrasonography(p0.01).The relationship between echotexture changes and testicular viability was statistically significant as well(p0.001).Conclusion:A long time since the onset of pain coupled with heterogeneous changes in testicular parenchyma is a good indicator of ***,we still advocate for surgical exploration as the gold standard in diagnosis and management.