The impact of ultrasound on testicular loss in cases of testicular torsion in children
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The impact of ultrasound on testicular loss in cases of testicular torsion in children. / Buch Kjeldgaard, Anastasia; Kinder-Klausen, Maren Sofie; Nerstrøm, Malene; Cohen, Jonathan; Henriksen, Birthe Merete; Thorup, Jørgen Mogens.
I: Pediatric Surgery International, Bind 40, Nr. 1, 20.03.2024, s. 83.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - The impact of ultrasound on testicular loss in cases of testicular torsion in children
AU - Buch Kjeldgaard, Anastasia
AU - Kinder-Klausen, Maren Sofie
AU - Nerstrøm, Malene
AU - Cohen, Jonathan
AU - Henriksen, Birthe Merete
AU - Thorup, Jørgen Mogens
N1 - © 2024. The Author(s).
PY - 2024/3/20
Y1 - 2024/3/20
N2 - PURPOSE: Ultrasound as a diagnostic tool in suspicion of testicular torsion is still highly debated. In this investigation, we aimed to evaluate whether time spent on scrotal ultrasonography had a negative impact on testicular loss.METHODS: Patients' records containing a scrotal ultrasound and/or surgical procedure codes for testicular interventions on suspicion of testicular torsion were examined. Patients aged 0-15 years admitted during 2015-2019 at Copenhagen University Hospital, Rigshospitalet were included.RESULTS: In total, 1566 patients underwent an ultrasound and 142 of these proceeded to surgery while 13 patients proceeded directly to surgery without an ultrasound. The rate of testicular loss with a preceding ultrasound was 23% versus 42% without (p = 0.18). Four cases of testicular torsion were misdiagnosed by ultrasound resulting in a sensitivity of 95.4% and specificity of 95.6%. The mean diagnostic delay from ultrasound examination was 55 ± 39 min, and the mean time from ultrasound to surgery was at 169 ± 76 min versus 171 ± 72 min without ultrasound.CONCLUSION: In a clinical setting, ultrasound provided a reliable tool for the diagnosis of testicular torsion and did not seem to increase the orchiectomy rate.
AB - PURPOSE: Ultrasound as a diagnostic tool in suspicion of testicular torsion is still highly debated. In this investigation, we aimed to evaluate whether time spent on scrotal ultrasonography had a negative impact on testicular loss.METHODS: Patients' records containing a scrotal ultrasound and/or surgical procedure codes for testicular interventions on suspicion of testicular torsion were examined. Patients aged 0-15 years admitted during 2015-2019 at Copenhagen University Hospital, Rigshospitalet were included.RESULTS: In total, 1566 patients underwent an ultrasound and 142 of these proceeded to surgery while 13 patients proceeded directly to surgery without an ultrasound. The rate of testicular loss with a preceding ultrasound was 23% versus 42% without (p = 0.18). Four cases of testicular torsion were misdiagnosed by ultrasound resulting in a sensitivity of 95.4% and specificity of 95.6%. The mean diagnostic delay from ultrasound examination was 55 ± 39 min, and the mean time from ultrasound to surgery was at 169 ± 76 min versus 171 ± 72 min without ultrasound.CONCLUSION: In a clinical setting, ultrasound provided a reliable tool for the diagnosis of testicular torsion and did not seem to increase the orchiectomy rate.
KW - Child
KW - Male
KW - Humans
KW - Spermatic Cord Torsion/diagnostic imaging
KW - Delayed Diagnosis
KW - Retrospective Studies
KW - Testis/diagnostic imaging
KW - Ultrasonography
U2 - 10.1007/s00383-024-05663-7
DO - 10.1007/s00383-024-05663-7
M3 - Journal article
C2 - 38507099
VL - 40
SP - 83
JO - Pediatric Surgery International
JF - Pediatric Surgery International
SN - 0179-0358
IS - 1
ER -
ID: 386366003