AUTHOR=Komarowska Marta Diana , Pawelczyk Alicja , Matuszczak Ewa , Dębek Wojciech , Hermanowicz Adam 

TITLE=Is Testicular Torsion a Real Problem in Pediatric Patients With Cryptorchidism?

JOURNAL=Frontiers in Pediatrics

VOLUME=8

YEAR=2021

URL=https://www.frontiersin.org/journals/pediatrics/articles/10.3389/fped.2020.575741

DOI=10.3389/fped.2020.575741

ISSN=2296-2360

ABSTRACT=<p><bold>Purpose:</bold> To present management and outcomes of patients with cryptorchidism suffering from testicular torsion.</p><p><bold>Methods:</bold> This is a retrospective review of pediatric patients with torsion of undescended testes, who were treated between 2009 and 2019. We recorded: the age, symptoms, duration of torsion, results of physical examination, surgery findings, and additional treatment. Additionally, an extensive online literature search, from 2015–2020, was performed to identify other similar case series.</p><p><bold>Results:</bold> We identified 9 boys with torsion of the undescended gonad, which represented 4.7% of all 192 boys with testicular torsion. The mean age of boys with torsion of undescended testis was 8.7 years. The mean duration of symptoms in our study group was long and it was up to 28.5 h. All patients had inguinal canal exploration. In eight cases, testicular necrosis and primary orchidectomy was performed. Furthermore, 45 cases were identified in the literature and reviewed.</p><p><bold>Conclusion:</bold> According to clinical experience and available studies, torsion of male undescended gonads is a comparatively rare condition. Nevertheless, diagnosis is still delayed and connected with inevitable orchidectomy.</p>