Salvage rate torsion
Testicular torsion is a surgical emergency, as without treatment the affected testicle *Testicular salvage rates are 90-100% if surgery performed within 6hrs of A delay at this stage may reduce the testicular salvage rate. Although the surgical treatment of TAT is not essential, it is widely accepted since it reduces Torsion more often involves the left testicle. Among neonatal testicular torsion cases, 70% occur prenatally and 30% occur postnatally. The testis salvage rate Salvage rate of testes after detorsion is reported as. 62e85% for descended testes and 29e40% for undescended testes [11]. The majority of authors report the
Testicular torsion is a twisting of the spermatic cord and its contents and is a surgical emergency affecting 3.8 per 100,000 males younger than 18 years annually. It accounts for 10% to 15% of acute scrotal disease in children, and results in an orchiectomy rate of 42% in boys undergoing surgery for testicular torsion.
The extent and duration of torsion have a major influence on both the immediate salvage rate and late testicular atrophy. Testicular salvage most likely occurs if the duration of torsion is less than six hours. If it exists for 24 hours or more, testicular necrosis is usual. Spontaneous or manipulative detorsion preoperatively resulted in a 100 per cent testicular salvage rate. If the patient seeks medical advice early a high testicular salvage rate can be obtained by proper diagnosis and prompt, aggressive detorsion either by manipulation when examined initially or at operation. The testes were saved in 79 per cent of 67 patients with torsion of the spermatic cord. When the patients who presented late are excluded, aggressive treatment allowed a 93 per cent testicular salvage rate. Spontaneous or manipulative detorsion preoperatively resulted in a 100 per cent testicular salvage rate. In the entire cohort, median duration of symptoms prior to ED presentation was seven hours, and median time to operating room from first presentation was 3.33 hours. Testicular salvage rate was not different between patients who were transferred to our facility vs. those who presented primarily (60% vs. 53.2%, p=0.55).
The salvage rates in cases of SCT have improved in recent times, so that where the rate was 55% in the 1960s and 1970s, it was 60–70% in 1980s and 1990s,
Perinatal torsion has a very low salvage rate (<5%). Even if testis loss has not occurred, a decrease in fertility is a common complication of testicular torsion. The
4 Apr 2014 In the largest published case series of neonatal testicular torsion, the salvage rate was 8.96%.8 If operated on earlier as an emergency, the rate
The testes were saved in 79 per cent of 67 patients with torsion of the spermatic cord. When the patients who presented late are excluded, aggressive treatment allowed a 93 per cent testicular salvage rate. Spontaneous or manipulative detorsion preoperatively resulted in a 100 per cent testicular salvage rate.
Salvage rate of testes after detorsion is reported as. 62e85% for descended testes and 29e40% for undescended testes [11]. The majority of authors report the
In one study, investigators quoted a testicular salvage rate of 90 percent if detorsion occurred less than six hours from the onset of symptoms; this rate fell to 50 percent after 12 hours and to less than 10 percent after 24 hours. 6 Rotation can range from 180 degrees to more than 720 degrees.
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