van Welie, Mikayla; Qu, Liang G; Adam, Ahmed; Lawrentschuk, Nathan; Laher, Abdullah E

doi:10.1111/ans.17592

Author(s)

van Welie, Mikayla

Qu, Liang G

Adam, Ahmed

Lawrentschuk, Nathan

Laher, Abdullah E

Publication Date

2022-03-07

Abstract

Recurrent Testicular Torsion (RTT) is a rarely reported event after previous testicular torsion (TT) repair. Both conditions have similar signs and symptoms. Various techniques have been attempted to reduce the incidence of retorsion. This review assesses the presentation, diagnosis, risk factors, management and outcomes associated with RTT. After PROSPERO Registration (CRD42021258997), a systematic search of PubMed, Google Scholar, Embase, Scopus, Web of Science, Cochrane Database of Systematic Reviews, Global Index Medicus and Cumulative Index to Nursing and Allied Health Literature (CIANHL) was performed using specific search terms. Study metadata including patient demographics, orchidopexy techniques, RTT rates and RTT timing were extracted. Twenty-six articles, comprising 12 case series and 14 case reports, with a total of 46 patients were included. Overall, the median (IQR) age of the pooled cohort was 18 (15-26) years, the median (IQR) time to presentation was 6 (3-36) hours from the onset of testicular pain. The most common presenting features were testicular pain (100%), testicular swelling (60.9%) and a high riding testicle (34.8%). The left testicle was most commonly affected (63.0%), RTT was on the ipsilateral side in relation to the primary episode of TT in 52.2% of cases, the median (IQR) interval between torsion and retorsion events was 4 (1.3-10.0) years, non-absorbable sutures were the most common suture material used during orchidopexy after RTT (88.9%). RTT is a rare presentation to the Emergency Department. Even with a prior history of TT, RTT should be considered in patients presenting with classic symptoms.

Citation

ANZ Journal of Surgery 2022; 92(9): 2043-2052

Jornal Title

ANZ journal of surgery

OrcId

https://orcid.org/0000-0002-4849-5087

https://orcid.org/0000-0001-9069-3282

https://orcid.org/0000-0002-3306-7389

0000-0002-5710-1983

Link

https://ahro.austin.org.au/austinjspui/handle/1/28996

Subject

RTT

TT

acute scrotum

recurrence

recurrent

spermatic cord torsion

testicular torsion

testis torsion

Title

Recurrent testicular torsion post orchidopexy - an occult emergency: a systematic review.

Type of document

Journal Article

Austin Health

Recurrent testicular torsion post orchidopexy - an occult emergency: a systematic review.

Files:

Author(s)	van Welie, Mikayla Qu, Liang G Adam, Ahmed Lawrentschuk, Nathan Laher, Abdullah E
Publication Date	2022-03-07
Abstract	Recurrent Testicular Torsion (RTT) is a rarely reported event after previous testicular torsion (TT) repair. Both conditions have similar signs and symptoms. Various techniques have been attempted to reduce the incidence of retorsion. This review assesses the presentation, diagnosis, risk factors, management and outcomes associated with RTT. After PROSPERO Registration (CRD42021258997), a systematic search of PubMed, Google Scholar, Embase, Scopus, Web of Science, Cochrane Database of Systematic Reviews, Global Index Medicus and Cumulative Index to Nursing and Allied Health Literature (CIANHL) was performed using specific search terms. Study metadata including patient demographics, orchidopexy techniques, RTT rates and RTT timing were extracted. Twenty-six articles, comprising 12 case series and 14 case reports, with a total of 46 patients were included. Overall, the median (IQR) age of the pooled cohort was 18 (15-26) years, the median (IQR) time to presentation was 6 (3-36) hours from the onset of testicular pain. The most common presenting features were testicular pain (100%), testicular swelling (60.9%) and a high riding testicle (34.8%). The left testicle was most commonly affected (63.0%), RTT was on the ipsilateral side in relation to the primary episode of TT in 52.2% of cases, the median (IQR) interval between torsion and retorsion events was 4 (1.3-10.0) years, non-absorbable sutures were the most common suture material used during orchidopexy after RTT (88.9%). RTT is a rare presentation to the Emergency Department. Even with a prior history of TT, RTT should be considered in patients presenting with classic symptoms.
Citation	ANZ Journal of Surgery 2022; 92(9): 2043-2052
Jornal Title	ANZ journal of surgery
OrcId	https://orcid.org/0000-0002-4849-5087 https://orcid.org/0000-0001-9069-3282 https://orcid.org/0000-0002-3306-7389 0000-0002-5710-1983
Link	https://ahro.austin.org.au/austinjspui/handle/1/28996
Subject	RTT TT acute scrotum recurrence recurrent spermatic cord torsion testicular torsion testis torsion
Title	Recurrent testicular torsion post orchidopexy - an occult emergency: a systematic review.
Type of document	Journal Article