Abstract:

INTRODUCTION: Testicular torsion occurring as a result of the rotation of the vasculer pedicle is the most important cause of acute scrotum results in terms of. In this study, cases with testicular torsion who had operated at our department and it’s outcomes were discussed. METHODS: Clinical records of all cases with testicular torsion who had operated at our department between January 2006 and July 2010 were evaluated as retrospectively in regard to age, history, side, symptoms, examination findings, surgical indications, operatively findings, histopathological results and outcome. RESULTS: 25 testes torsion in 24 cases were operated at our department during 4.5 years period. Ages of patients ranged an 1 hour’s newborn to a 16 years old boy. 9 of patients (37.5%) were newborn; and 3 were adolescent (12.5%); the other 12 patients remained between one and 11 years old (50%) one of these newborns had bilateral testes torsion. 14 testes underwent orchiectomy (44%) and 11 testes of 10 patients underwent orchidopexy (56%). 16 of testes torsion were on left side (64%), and 9 were on right side (36%). One patient aged 7 years old had torsion of appendix testes on left side. Torsion degree was changed between 360-720 degree; and bigger than 540 degree in most patients. All newborn torsions were extravaginal. Orchidopexy was created in elder boys; three of them had a suspicious of trauma, and findings of the phisical examination were unspesific for the torsion. In histopathologıc examinations of all orchidectomic testes were determined hemoragic infarctus. Two of the three testis with orchiopexy in two neonates went to atrophy in the late period. Overall, testicular viability of 9 testes in 25 testes was preserved. DISCUSSION AND CONCLUSION: Despite emerging technologies, testicular torsion is still continues to be a source of stress for families and pediatric surgeons both in terms of operation indication and recognize.

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