Bilateral orchidopexy for intermittent testicular torsion
Abstract Objectives To assess the effect of bilateral orchidopexy in preventing future torsion and testicular loss in patients with intermittent testicular torsion. Secondarily, this study aims to assess the rate of pain improvement following orchidopexy. Methods This is a prospective cohort of pati...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2024-11-01
|
| Series: | BJUI Compass |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/bco2.439 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832592032988659712 |
|---|---|
| author | Paul K. Hegarty Mona Kalantar Penelope A. Hegarty Helen Zafirakis Jack E. Monahan |
| author_facet | Paul K. Hegarty Mona Kalantar Penelope A. Hegarty Helen Zafirakis Jack E. Monahan |
| author_sort | Paul K. Hegarty |
| collection | DOAJ |
| description | Abstract Objectives To assess the effect of bilateral orchidopexy in preventing future torsion and testicular loss in patients with intermittent testicular torsion. Secondarily, this study aims to assess the rate of pain improvement following orchidopexy. Methods This is a prospective cohort of patients. Participants were men who underwent elective bilateral orchidopexy for intermittent testicular torsion. All consecutive cases were treated by a single surgeon in a single centre between 2015 and 2023. The primary outcomes were prevention of torsion and testicular loss. The secondary outcome was the resolution or improvement in pain. Results The success rate of bilateral orchidopexy in preventing testicular loss due to torsion was 100%, at a follow‐up of mean 33.5 months. Of the 50 patients, 88% were pain‐free following orchidopexy, and 12% had an improvement in their pain. There were no cases of hydrocoele or haematoma in this series. To our knowledge, this is the largest series reported in the literature. Conclusions Elective bilateral orchidopexy prevents torsion and preserves testicular viability. Pain is resolved in most but not all cases. This is important in counselling men who are considering surgical management of intermittent torsion of the testicle. |
| format | Article |
| id | doaj-art-d9bb2bcbab694166ae03bba1e59db1e0 |
| institution | Kabale University |
| issn | 2688-4526 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Wiley |
| record_format | Article |
| series | BJUI Compass |
| spelling | doaj-art-d9bb2bcbab694166ae03bba1e59db1e02025-01-22T02:21:03ZengWileyBJUI Compass2688-45262024-11-015111131113610.1002/bco2.439Bilateral orchidopexy for intermittent testicular torsionPaul K. Hegarty0Mona Kalantar1Penelope A. Hegarty2Helen Zafirakis3Jack E. Monahan4Consultant Urologic Surgeon Mater Private Network Dublin IrelandFaculty of Medicine University College Cork Cork IrelandFaculty of Medicine University College Cork Cork IrelandConsultant Urologic Surgeon Bon Secours Hospital Cork IrelandFaculty of Medicine University College Cork Cork IrelandAbstract Objectives To assess the effect of bilateral orchidopexy in preventing future torsion and testicular loss in patients with intermittent testicular torsion. Secondarily, this study aims to assess the rate of pain improvement following orchidopexy. Methods This is a prospective cohort of patients. Participants were men who underwent elective bilateral orchidopexy for intermittent testicular torsion. All consecutive cases were treated by a single surgeon in a single centre between 2015 and 2023. The primary outcomes were prevention of torsion and testicular loss. The secondary outcome was the resolution or improvement in pain. Results The success rate of bilateral orchidopexy in preventing testicular loss due to torsion was 100%, at a follow‐up of mean 33.5 months. Of the 50 patients, 88% were pain‐free following orchidopexy, and 12% had an improvement in their pain. There were no cases of hydrocoele or haematoma in this series. To our knowledge, this is the largest series reported in the literature. Conclusions Elective bilateral orchidopexy prevents torsion and preserves testicular viability. Pain is resolved in most but not all cases. This is important in counselling men who are considering surgical management of intermittent torsion of the testicle.https://doi.org/10.1002/bco2.439intermittentorchidopexyoutcomestestistorsion |
| spellingShingle | Paul K. Hegarty Mona Kalantar Penelope A. Hegarty Helen Zafirakis Jack E. Monahan Bilateral orchidopexy for intermittent testicular torsion BJUI Compass intermittent orchidopexy outcomes testis torsion |
| title | Bilateral orchidopexy for intermittent testicular torsion |
| title_full | Bilateral orchidopexy for intermittent testicular torsion |
| title_fullStr | Bilateral orchidopexy for intermittent testicular torsion |
| title_full_unstemmed | Bilateral orchidopexy for intermittent testicular torsion |
| title_short | Bilateral orchidopexy for intermittent testicular torsion |
| title_sort | bilateral orchidopexy for intermittent testicular torsion |
| topic | intermittent orchidopexy outcomes testis torsion |
| url | https://doi.org/10.1002/bco2.439 |
| work_keys_str_mv | AT paulkhegarty bilateralorchidopexyforintermittenttesticulartorsion AT monakalantar bilateralorchidopexyforintermittenttesticulartorsion AT penelopeahegarty bilateralorchidopexyforintermittenttesticulartorsion AT helenzafirakis bilateralorchidopexyforintermittenttesticulartorsion AT jackemonahan bilateralorchidopexyforintermittenttesticulartorsion |