Özet:

Purpose: In this study, we aimed at investigating the benefits of hematological results in determining the distinctive diagnosis between testicular tortion (TT) and epididimo-orchitis (EO) in patients with acute scrotum and determining the predictive value for the diagnosis of TT. Tools and Methods: We retrospectively examined 98 cases of complaints related to acute scrotum and the urological clinics or emergency services of our Institute. The study included 32 patients with orchectomy or detortion related to TT and 48 patients with EO. The control group consisted of 80 healthy men. The groups were compared in terms of hematological parameters such as age, white blood cell (WBC), average thrombocyte volume (MPV), neutrophil/lenfocyte ratio (NLR), monocyte/lenfocyte ratio (MLR) and thrombocyte/lenfocyte ratio (PLR). The findings: WBC, MPV and NLR were statistically meaningful in distinguishing the TT group from other groups, respectively; (AUC = 0.732, 95% CI: 0.647-0.816 and p <0.001), (AUC = 0.720, 95% CI: 0.615-0.825 and p <0.001), (AUC = 0.629, 95% CI: 0.519-0.739 and p = 0.024). In comparison between the detortion and orchectomy subgroups within the TT group, the first had a statistically lower monocyte number (p = 0,005) and the MLR level (p = 0,038) . The result: the hematological parameters; that is, WBC, MPV and NLR, which can be easily determined by the analysis of the full blood count, had a high sensitivity and specificity, similar to Doppler ultrasound, to predict TT. We also believe that monocytes and MLR levels may be beneficial in cases of difficulty in orchectomy or detection decision in TT surgery.

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