Published online Mar 6, 2024. doi: 10.12998/wjcc.v12.i7.1251
Peer-review started: November 26, 2023
First decision: December 29, 2023
Revised: January 9, 2024
Accepted: February 4, 2024
Article in press: February 4, 2024
Published online: March 6, 2024
Processing time: 95 Days and 18.7 Hours
Testicular torsion (TT) is currently the leading cause of testicular removal in adolescents, with an incidence rate of 1 in 4000 among males under the age of 25. Delayed medical consultation for TT and misdiagnosis could lead to orchiectomy. Therefore, we aim to analyze the factors influencing orchiectomy or testicular salvage by reviewing the data of patients who presented at our center.
Various factors, such as delayed presentation to the healthcare facility and excessive degree of torsion, can lead to orchiectomy in adolescents with TT. Hence, we conducted a retrospective analysis of data from our center to identify the factors affecting the prognosis of TT.
Factors to predict the possibility of testicular salvage (TS) in patients with TT in our tertiary center.
By collecting clinical data from patients with TT treated at our center, we performed univariate and multivariate regression analyses to compare between the TS and the orchiectomy group.
Our study has identified that younger age, body mass index, torsion angle, red blood cell count and neutrophil-to-lymphocyte ratio have predictive value for TS. And we found a new factor that the type of institution where patients first presented as a predictive factor for the outcome of TT; patients who initially presented to a tertiary-care hospital were more likely to have testicular preservation.
The initial presenting institution is a new predictive factor for outcome of TT. Patients with scrotal pain should be presented to a tertiary hospital as soon as possible.
Future research will focus on enhancing public health education regarding scrotal emergencies to prevent delays in the presentation of patients with conditions such as TT.