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Title: Recurrent testicular torsion post orchidopexy - an occult emergency: a systematic review.
Austin Authors: van Welie, Mikayla;Qu, Liang G ;Adam, Ahmed;Lawrentschuk, Nathan;Laher, Abdullah E
Affiliation: Department of Urology, Royal Melbourne Hospital, Melbourne, Victoria, Australia..
Olivia Newton-John Cancer Research Institute
Department of Emergency Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa..
Division of Urology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa..
Issue Date: 7-Mar-2022 2022
Publication information: ANZ Journal of Surgery 2022; 92(9): 2043-2052
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.
DOI: 10.1111/ans.17592
Journal: ANZ journal of surgery
PubMed URL: 35257473
PubMed URL:
Type: Journal Article
Subjects: RTT
acute scrotum
spermatic cord torsion
testicular torsion
testis torsion
Appears in Collections:Journal articles

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