Effect of Pediatric Testicular Torsion on Testicular Function in the Short Term
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Read the article on jpedsurg.org ↗Article · Nov 2019 · 1 min read
In brief
In brief
This study evaluates 6-month outcomes in 54 pediatric testicular torsion patients, comparing orchidopexy versus orchiectomy groups. Key findings show salvaged testes retained 83% of contralateral volume, with elevated FSH in orchiectomy patients suggesting compensatory response to reduced testicular mass.
Written by the GCMD Library team from the article.
Purpose
To evaluate short-term testicular outcome after torsion in children.
Methods
Fifty-four children and adolescents were evaluated after 6 months of the operation for testicular torsion. Testicular volume was measured and circulating Inhibin B, FSH, LH and testosterone levels were checked.
Results
Delay from the onset of symptoms to surgery was shorter in the orchidopexy group (n = 47), than in the orchiectomy group (n = 7, p = 0.001). In the orchidopexy group, the median volume of the affected testis was 83% (IQR 43–104) of the contralateral testis (p = 0.002). The plasma hormone levels in orchidopexy and orchiectomy groups were: 148 ng/l (IQR 108–208) vs. 129 ng/l (IQR, 123–138, p = 0.269) for Inhibin B; 4.5 IU/L (IQR2.6–6.9) vs. 11.7 IU/L (IQR 4.3–12.8, p = 0.037) for FSH; 2.9 IU/L (IQR 1.3–3.7) vs. 4.8 (IQR 3.0–5.6, p = 0.066) for LH; and 13.6 nM (IQR 6.5–18.0) vs. 14.5 nM (IQR 6.7–15.9, p = 0.834) for testosterone. The association between FSH, LH as well as testosterone levels was most clear with the volume of the contralateral testis (Rho = 0.574, p