The Role of Hematologic Parameters in Predicting Orchiectomy for Testicular Torsion

Yıl 2024, Cilt: 19 Sayı: 2, 90 - 94, 29.06.2024

Cengiz Canakcı , Erdinç Dinçer , Orkunt Özkaptan , Medet Sevinç , Bilal Eryıldırım

https://doi.org/10.33719/nju1439058

Öz

Objective: Testicular torsion is an urological emergency that requires early intervention. When torsion is diagnosed late, the possibility of organ loss increases. In this study, we investigated the role of preoperative hematological parameters in predicting orchiectomy.
Material and Methods: A total of 136 patients who had undergone surgery due to testicular torsion were included in this study. Patients are divided into two groups as orchiectomy (n=48) and testicular fixation (n=88). The groups were compared with age, neutrophil/lymphocyte ratio (NLR), platelet/lymphocyte ratio (PLR), platelet count (PLT), mean platelet volume (MPV), neutrophil count, lymphocyte count, symptoms of duration, side and the degree of torsion.
Results: The mean age was 18.2 ± 9.6 in orchiectomy group and 17.2 ± 6.1 in testicular fixation group (p=0.569). The symptoms of duration was statistically higher in orchiectomy group (57.4±35.7 vs. 8.7±7.4 (p=0.001)). NLR was 5.03±2.93 in orchiectomy group and 6.72±3.51 in testicular fixation group (p=0.005). MPV was found to be significantly higher in the orchiectomy group (p=0.001). There were no differences between the groups in terms of the PLR (p=0.137), PLT (p=0.251), neutrophil count (p=0.309) and lymphocyte count (p=0.895). In multivariate analysis, the degree of torsion and the duration of symptoms were found to be predictive for orchiectomy (p=0.003, p<0.001).
Conclusion: Many studies have reported that preoperative haematological parameters predict orchiectomy. However, no predictive factor was found in our study.

Anahtar Kelimeler

Testicular Torsion, Orchiectomy, Hematological Parameters.

Etik Beyan

Ministry of Health Kartal Dr Lütfi Kırdar City Hospital Clinical Research Ethics Committee, Date: 26.08.2020, Decision No: 220/514/184/2.

Destekleyen Kurum

The authors report no involvement in the research by the sponsor that could have influenced the outcome of this work.

Kaynakça

• Zhu J, Song Y, Chen G, et al. Predictive value of haematologic parameters in diagnosis of testicular torsion: Evidence from a systematic review and meta‐analysis. Andrologia2020;52(2):e13490. https://doi.org/10.1111/and.13490.
• Güneş M, Umul M, Altok M, et al. Predictive role of hematologicparameters in testiculartorsion. Korean Journal of Urology2015;56:324-329. https://doi.org/10.4111/kju.2015.56.4.324.
• Boettcher M, Bergholz R, Krebs TF, Wenke K, Aronson DC. Clinical predictors of testicular torsion in children. Urology2012;79:670-4. https://doi.org/10.1016/j.urology.2011.10.041.
• Bowlin PR, Gatti JM, Murphy JP. Pediatric testicular torsion. SurgClinNorthAm2017;97:161-72. https://doi.org/10.1016/j.suc.2016.08.012.
• Bodiwala D, Summerton DJ, Terry TR. Testicular prostheses: development and modern usage. AnnRCollSurgEngl2007;89:349-53. https://doi.org/10.1308/003588407X183463.
• Rampaul MS, Hosking SW. Testicular torsion: most delay occurs outside hospital. Ann R Coll Surg Engl 1998;80:169-72.
• Nasrallah P, Nair G, Congeni J, Bennett CL, McMahon D. Testicular health awareness in pubertal males. J Urol 2000;164:1115-7. https://doi.org/10.1097/00005392-200009020-00049.
• Bitkin A, Aydın M, Özgür BC, et al. Can haematologic parameters be used for differential diagnosis of testicular torsion and epididymitis? Andrologia2018;50(1). https://doi.org/10.1111/and.12819.
• Cicek T, Togan T, Akbaba K, Narci H, Aygun C. The value of serum mean platelet volume in testicular torsion J Int Med Res.2015;43(3):452-9. https://doi.org/10.1177/0300060514558898.
• He M, Zhang W, Sun N. Can haematologic parameters be used to predict testicular viability in testicular torsion? Andrologia.2019;51:e13357. https://doi.org/10.1111/and.13357.
• Jang JB, Ko YH, Choi JY, et al. Neutrophil-Lymphocyte Ratio Predicts Organ Salvage in Testicular Torsion with Marginal Diagnostic Delay. World J Mens Health2019;37:99-104. https://doi.org/10.5534/wjmh.180049.
• Chen P, Huang W, Liu L, et al. Predictive value of hematological parameters in testicular salvage: A 12-year retrospective review Front. Pediatr.2022;10:989112. https://doi.org/10.3389/fped.2022.989112
• Merder E, Bozkurt M, Ariman A, et al. Comprehensive examination of haematological parameters of patients operated due to testicular torsion Andrologia2020;52:e13674. https://doi.org/10.1111/and.13674.
• Peretti M, Zampieri N, Bertozzi M, et al. Mean platelet volume and testicular torsion: new findings. Urol J.2019;16:83–5. https://doi.org/10.22037/uj.v0i0.4042