Monday, January 23, 2012

how often is manual testicular detorsion successful?

STUDY 1:
--over 10 years, looked at 35 of 104 patients who underwent pre-op manual detorsion. 
--of the 34 evaluable patients, all the testes were salvaged (i.e. 100%)

STUDY 2:
--16 Total cases of acute torsion, 15 underwent successful detorsion
--93% testicular salvage in the 15 who underwent detorsion

STUDY 3:
--14 of 17 patients had successful manual detorsion with no testicular atrophy noted after 22 months


BOTTOM LINE:
--manual testicular detorsion works pretty well
--most torsion is medial, so to detors, twist 180 degrees laterally (like opening a book); should relieve symptoms
--then call urology


Submitted by J. Gullo.


Reference(s): study 1, study 2, study 3, picture

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