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Çocukluk dönemi testis torsiyonu sonuçlarının değerlendirilmesi

Year 2016, Volume: 9 Issue: 3, 144 - 149, 16.12.2016

Sinan Kılıç Gökhan Berktuğ Bahadır Hakan Taşkınlar Caner İspir Ali Naycı

Abstract

Amaç: Testis torsiyonu akut skrotum nedenlerinden olup acil cerrahi yaklaşım gerektirmesinden dolayı önemlidir. Erken tanıda cerrahi tedavinin başarısı oldukça yüksektir. Bu çalışmada testis torsiyonu tanısı almış olan hastaların geriye dönük olarak değerlendirilmesi amaçlanmıştır. Gereç ve yöntem: Testis torsiyonu nedeni ile ameliyat edilen 25 çocuk çalışmaya dahil edildi. Hastaların başvuru yakınmaları, ağrının başlama zamanı, tanı yöntemleri ve eksplorasyon bulguları değerlendirildi. Bulgular: Çocukların yaş aralığı 5 ile 17 yaş arasında olup, ortalama yaş 14.5 ± 3.2 yıl idi. Hastaların tamamına yakınında (%96) başvuru yakınması sadece skrotal ağrı idi. Hastaların hepsinde skrotal hassasiyet mevcuttu. Testis torsiyonunda tanı skrotal renkli doppler ultrasonografi ile desteklendi. Yakınmaları 72 saatten önce başlamış 18 hastada detorsiyon yapıldı (%75). Yetmiş ikinci saatten sonra getirilen beş hastada orşiektomi yapıldı (%20,8). Bir hastada (%4) appendiks testis torsiyonu nedeni ile eksplorasyon yapıldı. Sonuç: Çocuklarda fizik inceleme ve skrotal renkli doppler ultrasonografi ile testis torsiyonu tanısı rahatlıkla konulabilmektedir. Şikayetlerin başlamasından 72 saat sonra getirilen olgularda testis kaybının olduğu görüldü. Erken ve doğru tanı sonrasında cerrahi tedavinin yapılması, bu çocuklarda morbidite ve organ kaybının önlenmesini olumlu yönde etkilemektedir.

Anahtar Kelimeler: Çocuk, testis, torsiyon

References

  • Ciftci AO, Senocak ME, Tanyel FC, Buyukpamukcu N. Clinical predictors for differential diagnosis of acute scrotum. Eur J Pediatr Surg 2004;14:333-338.
  • Mushtaq I, Fung M, Glasson MJ. Retrospective review of pediatric patients with acute scrotum. ANZ J Surg 2003;73:55-58.
  • Nöske HD, Kraus WS, Altınkılıç BM, Weidner W. Historical milestones regarding torsion of the scrotal organs. J Urol 1998;159:13-16.
  • Zhao LC, Lautz TB, Meeks JJ, Maizels M. Pediatric testicular torsion epidemiology using a national database: incidence, risk of orchiectomy and possible measures toward improving the quality of care. J Urol 2011;186:2009-2013.
  • Liang T, Metcalfe P, Sevcik W, Noga M. Retrospective review of diagnosis and treatment in children presenting to the pediatric department with acute scrotum. AJR Am J Roentgenol 2013;200:444-449.
  • McAndrew HF, Pemberton R, Kikiros CS, Gollow I. The incidence and investigation of acute scrotal problems in children. Pediatr Surg Int 2002;18:435-437.
  • Sharp VJ, Kieran K, Arlen AM. Testicular torsion: diagnosis, evaluation and management. Am Fam Physician 2013;88:835-840.
  • Baker LA, Sigman D, Mathews RI, Benson J, Docimo SG. An analysis of clinical outcomes using color doppler testicular ultrasound for testicular torsion. Pediatrics 2000;105:604-607.
  • Makela E, Lahdes-Vasama T, Rajakorpi H, Wikström S. A 19-year review of paediatric patients with acute scrotum. Scand J Surg 2007;96:62-66.
  • White WM, Brewer ME, Kim ED. Segmental ischemia of testis secondary to intermittent testicular torsion. Urology 2006; 68:670-671.
  • Acar D, Tunckiran A, Aktay S, Bozlu M, Coskun B, Cayan S et al. The effect of trapidil on long term histological damage in ischemia-reperfusion injury of the testis. Eur Urol 2004;2:136.
  • Dubois R, Dodat H. Acute scrotum in the child. Arch Pediatr 1998;5:916-922.
  • Prater JM, Overdorf BS. Testicular torsion: a surgical emergency. Am Fam Physician 1991;44:834-840.
  • Molokwu CN, Somani BK, Goodman CM.Noseworthy J. Outcomes of scrotal exploration for acute scrotal pain suspicious of testicular torsion: a consecutive case series of 173 patients. Testicular torsion. BJU Int 2011;107:990-993.
  • Kaplan GW. Scrotal swelling in children. Pediatr Rew 2000;21:311-314.
  • Akgur FM, Kilinc F, Tanyel FC, Buyukpamukcu N, Hicsonmez A. Ipsilateral and contralateral testicular biochemical acute changes after unilateral testicular torsion and detorsion. Urology 1994;44:413-418.
  • Nguyen L, Lievano G, Ghosh L, Radhakrishnan J, Fornell L, John E. Effect of unilateral testicular torsion on blood flow and histology of contralateral testes. J Pediatr Surg 1999;34:680-683.
  • Tanyel FC, Büyükpamukçu N, Hiçsönmez A. Contralateral testicular blood flow during unilateral testicular torsion. Br J Urol 1989;63:522-524.
  • Ozkan KU, Küçükaydin M, Muhtaroğlu S, Kontaş O. Evaluation of contralateral testicular damage after unilateral testicular torsion by serum inhibin B levels. J Pediatr Surg 2001;36:1050-1053.
  • Puri P, Barton D, O’Donnell B. Prepubertal testicular torsion: subsequent fertility. J Pediatr Surg 1985;20:598-601.
  • Knight PJ, Vassy LE. The diagnosis and treatment of the acute scrotum in children and adolescents. Ann Surg 1984;200:664-673.
  • Yapanoglu T, Aydın HR, Adanur S, Polat O, Demirel A, Okyar G. Our Thirteenth-year Experience with Testicular Torsion in Children. Eurasian J Med 2007;39:164-168
  • McCombe AW, Scobie WG. Torsion of scrotal contents in children. Br J Urol 1988;61:148- 150.
  • Agrawal AM, Tripathi PS, Shankhwar A, Naveen C. Role of ultrasound with color Doppler in acute scrotum management. J Family Med Prim Care 2014;3:409-412.
  • Mihmanli I, Kantarci F. Sonography of scrotal abnormalities in adults: an update. Diagn Interv Radiol 2009;15:64-73.
  • Boopathy Vijayaraghavan S. Sonographic differential diagnosis of acute scrotum. Real-time whirlpool sign, a key sign of torsion. J Ultrasound Med 2006;25:563–574
  • Rampaul MS, Hosking SW. Testicular torsion: most delay occurs outside hospital. Ann R Coll Surg Engl 1998;80:169-172.
  • Johnston JW1, Larsen P, El-Haddawi FH, Fancourt MW, Farrant GJ, Gilkison WT, Kyle SM, Mosquera DA. Time delays in presentation and treatment of acute scrotal pain in a provincial hospital. ANZ J Surg 2015;85:330-333.
  • Saxena AK, Castellani C, Ruttenstock EM, Höllwarth ME. Testicular torsion: a 15-year single-centre clinical and histological analysis. Acta Paediatr 2012;101:282-286.
  • Crawford P, Crop JA. Evaluation of scrotal masses. Am Fam Physician 2014;89:723-727.
  • Liu CC, Huang SP, Chou YH ve ark. Clinical presentation of acute scrotum in young males. Kaohsiung J Med Sci 2007;23:281-286.
  • Wei SM, Yan ZZ, Zhou J. Curcumin attenuates ischemia-reperfusion injury in rat testis. Fertil Steril 2009;91:271-277.
  • Lewis AG, Bukowski TP, Jarvis PD, Wacksman J, Sheldon CA. Evaluation of acute scrotum in the emergency department. J Pediatr Surg 1995;30:277-281.
  • Gordhan CG, Sadeghi-Nejad H. Scrotal pain: evaluation and management. Korean J Urol 2015;56:3-11.

Year 2016, Volume: 9 Issue: 3, 144 - 149, 16.12.2016

Sinan Kılıç Gökhan Berktuğ Bahadır Hakan Taşkınlar Caner İspir Ali Naycı

Abstract

References

  • Ciftci AO, Senocak ME, Tanyel FC, Buyukpamukcu N. Clinical predictors for differential diagnosis of acute scrotum. Eur J Pediatr Surg 2004;14:333-338.
  • Mushtaq I, Fung M, Glasson MJ. Retrospective review of pediatric patients with acute scrotum. ANZ J Surg 2003;73:55-58.
  • Nöske HD, Kraus WS, Altınkılıç BM, Weidner W. Historical milestones regarding torsion of the scrotal organs. J Urol 1998;159:13-16.
  • Zhao LC, Lautz TB, Meeks JJ, Maizels M. Pediatric testicular torsion epidemiology using a national database: incidence, risk of orchiectomy and possible measures toward improving the quality of care. J Urol 2011;186:2009-2013.
  • Liang T, Metcalfe P, Sevcik W, Noga M. Retrospective review of diagnosis and treatment in children presenting to the pediatric department with acute scrotum. AJR Am J Roentgenol 2013;200:444-449.
  • McAndrew HF, Pemberton R, Kikiros CS, Gollow I. The incidence and investigation of acute scrotal problems in children. Pediatr Surg Int 2002;18:435-437.
  • Sharp VJ, Kieran K, Arlen AM. Testicular torsion: diagnosis, evaluation and management. Am Fam Physician 2013;88:835-840.
  • Baker LA, Sigman D, Mathews RI, Benson J, Docimo SG. An analysis of clinical outcomes using color doppler testicular ultrasound for testicular torsion. Pediatrics 2000;105:604-607.
  • Makela E, Lahdes-Vasama T, Rajakorpi H, Wikström S. A 19-year review of paediatric patients with acute scrotum. Scand J Surg 2007;96:62-66.
  • White WM, Brewer ME, Kim ED. Segmental ischemia of testis secondary to intermittent testicular torsion. Urology 2006; 68:670-671.
  • Acar D, Tunckiran A, Aktay S, Bozlu M, Coskun B, Cayan S et al. The effect of trapidil on long term histological damage in ischemia-reperfusion injury of the testis. Eur Urol 2004;2:136.
  • Dubois R, Dodat H. Acute scrotum in the child. Arch Pediatr 1998;5:916-922.
  • Prater JM, Overdorf BS. Testicular torsion: a surgical emergency. Am Fam Physician 1991;44:834-840.
  • Molokwu CN, Somani BK, Goodman CM.Noseworthy J. Outcomes of scrotal exploration for acute scrotal pain suspicious of testicular torsion: a consecutive case series of 173 patients. Testicular torsion. BJU Int 2011;107:990-993.
  • Kaplan GW. Scrotal swelling in children. Pediatr Rew 2000;21:311-314.
  • Akgur FM, Kilinc F, Tanyel FC, Buyukpamukcu N, Hicsonmez A. Ipsilateral and contralateral testicular biochemical acute changes after unilateral testicular torsion and detorsion. Urology 1994;44:413-418.
  • Nguyen L, Lievano G, Ghosh L, Radhakrishnan J, Fornell L, John E. Effect of unilateral testicular torsion on blood flow and histology of contralateral testes. J Pediatr Surg 1999;34:680-683.
  • Tanyel FC, Büyükpamukçu N, Hiçsönmez A. Contralateral testicular blood flow during unilateral testicular torsion. Br J Urol 1989;63:522-524.
  • Ozkan KU, Küçükaydin M, Muhtaroğlu S, Kontaş O. Evaluation of contralateral testicular damage after unilateral testicular torsion by serum inhibin B levels. J Pediatr Surg 2001;36:1050-1053.
  • Puri P, Barton D, O’Donnell B. Prepubertal testicular torsion: subsequent fertility. J Pediatr Surg 1985;20:598-601.
  • Knight PJ, Vassy LE. The diagnosis and treatment of the acute scrotum in children and adolescents. Ann Surg 1984;200:664-673.
  • Yapanoglu T, Aydın HR, Adanur S, Polat O, Demirel A, Okyar G. Our Thirteenth-year Experience with Testicular Torsion in Children. Eurasian J Med 2007;39:164-168
  • McCombe AW, Scobie WG. Torsion of scrotal contents in children. Br J Urol 1988;61:148- 150.
  • Agrawal AM, Tripathi PS, Shankhwar A, Naveen C. Role of ultrasound with color Doppler in acute scrotum management. J Family Med Prim Care 2014;3:409-412.
  • Mihmanli I, Kantarci F. Sonography of scrotal abnormalities in adults: an update. Diagn Interv Radiol 2009;15:64-73.
  • Boopathy Vijayaraghavan S. Sonographic differential diagnosis of acute scrotum. Real-time whirlpool sign, a key sign of torsion. J Ultrasound Med 2006;25:563–574
  • Rampaul MS, Hosking SW. Testicular torsion: most delay occurs outside hospital. Ann R Coll Surg Engl 1998;80:169-172.
  • Johnston JW1, Larsen P, El-Haddawi FH, Fancourt MW, Farrant GJ, Gilkison WT, Kyle SM, Mosquera DA. Time delays in presentation and treatment of acute scrotal pain in a provincial hospital. ANZ J Surg 2015;85:330-333.
  • Saxena AK, Castellani C, Ruttenstock EM, Höllwarth ME. Testicular torsion: a 15-year single-centre clinical and histological analysis. Acta Paediatr 2012;101:282-286.
  • Crawford P, Crop JA. Evaluation of scrotal masses. Am Fam Physician 2014;89:723-727.
  • Liu CC, Huang SP, Chou YH ve ark. Clinical presentation of acute scrotum in young males. Kaohsiung J Med Sci 2007;23:281-286.
  • Wei SM, Yan ZZ, Zhou J. Curcumin attenuates ischemia-reperfusion injury in rat testis. Fertil Steril 2009;91:271-277.
  • Lewis AG, Bukowski TP, Jarvis PD, Wacksman J, Sheldon CA. Evaluation of acute scrotum in the emergency department. J Pediatr Surg 1995;30:277-281.
  • Gordhan CG, Sadeghi-Nejad H. Scrotal pain: evaluation and management. Korean J Urol 2015;56:3-11.
There are 34 citations in total.

Details

Journal Section Articles
Authors

Sinan Kılıç

Gökhan Berktuğ Bahadır

Hakan Taşkınlar

Caner İspir

Ali Naycı This is me

Publication Date December 16, 2016
Submission Date July 14, 2016
Published in Issue Year 2016 Volume: 9 Issue: 3

Cite

APA Kılıç, S., Bahadır, G. B., Taşkınlar, H., İspir, C., et al. (2016). Çocukluk dönemi testis torsiyonu sonuçlarının değerlendirilmesi. Mersin Üniversitesi Sağlık Bilimleri Dergisi, 9(3), 144-149.
AMA Kılıç S, Bahadır GB, Taşkınlar H, İspir C, Naycı A. Çocukluk dönemi testis torsiyonu sonuçlarının değerlendirilmesi. Mersin Univ Saglık Bilim derg. December 2016;9(3):144-149.
Chicago Kılıç, Sinan, Gökhan Berktuğ Bahadır, Hakan Taşkınlar, Caner İspir, and Ali Naycı. “Çocukluk dönemi Testis Torsiyonu sonuçlarının değerlendirilmesi”. Mersin Üniversitesi Sağlık Bilimleri Dergisi 9, no. 3 (December 2016): 144-49.
EndNote Kılıç S, Bahadır GB, Taşkınlar H, İspir C, Naycı A (December 1, 2016) Çocukluk dönemi testis torsiyonu sonuçlarının değerlendirilmesi. Mersin Üniversitesi Sağlık Bilimleri Dergisi 9 3 144–149.
IEEE S. Kılıç, G. B. Bahadır, H. Taşkınlar, C. İspir, and A. Naycı, “Çocukluk dönemi testis torsiyonu sonuçlarının değerlendirilmesi”, Mersin Univ Saglık Bilim derg, vol. 9, no. 3, pp. 144–149, 2016.
ISNAD Kılıç, Sinan et al. “Çocukluk dönemi Testis Torsiyonu sonuçlarının değerlendirilmesi”. Mersin Üniversitesi Sağlık Bilimleri Dergisi 9/3 (December 2016), 144-149.
JAMA Kılıç S, Bahadır GB, Taşkınlar H, İspir C, Naycı A. Çocukluk dönemi testis torsiyonu sonuçlarının değerlendirilmesi. Mersin Univ Saglık Bilim derg. 2016;9:144–149.
MLA Kılıç, Sinan et al. “Çocukluk dönemi Testis Torsiyonu sonuçlarının değerlendirilmesi”. Mersin Üniversitesi Sağlık Bilimleri Dergisi, vol. 9, no. 3, 2016, pp. 144-9.
Vancouver Kılıç S, Bahadır GB, Taşkınlar H, İspir C, Naycı A. Çocukluk dönemi testis torsiyonu sonuçlarının değerlendirilmesi. Mersin Univ Saglık Bilim derg. 2016;9(3):144-9.

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