Early Detorsion Improves Testicular Salvage Rates in Pediatric Patients with Testicular Torsion: Study

During the 2000 to 2024, 103 patients with an average age of 12.9± 3.0 were followed up with echosonography following testicular salvage and surgical detorquation. Based on the time of the intervention, the research had three groups as Group 1 "<6h," Group 2 "6-12h," and Group 3 ">12h." All groups had a median follow-up of 65 (60 to 84) months.

When compared to 64.7% in Group 2 and just 20.8% in Group 3, the existence of a detorsed testis was substantially greater in Group 1, where all patients had an extant testis. In comparison to Groups 2 and 3, the detorsed testis volume was substantially higher in Group 1. Significant variances between the groups were found by analyzing blood flow via the testis. 20 (55.6%) of the patients in Group 1 had the structural homogeneity, but none of the patients in Groups 2 or 3 had it.

The findings highlight the potential danger of testicular atrophy after several years of follow-up is much higher. If symptoms are present for more than 6 hours, testicular salvage is not feasible. The topic of whether salvaged testes may have a negative effect on male fertility is raised by the high frequency of heterogeneous presentation on ultrasonography of saved testes that did not exhibit atrophy.

Source:

Milivojevic, S., Topalovic, D., Dasic, I., Cvejic, S., Filipovic, I., Mihajlovic, S., Jovic, M., & Lazovic, J. M. (2025). Testicular atrophy following torsion in pediatric patients. Results of a long-term follow-up. Urology. https://doi.org/10.1016/j.urology.2025.01.017