1,721,152 research outputs found
Re: Reconstruction of the hypospadiac hooded prepuce - G. Erdenetsetseg and P. A. Dewan J Urol, 169 : 1822-1824, 2003
Derivazione interna con stent J-J nel megauretere ostruttivo. XVII Congresso Società Italiana di Urologia Pediatrica
Discrepancy between power-Doppler voiding urosonography and voiding cystourethrography is not relevant for the management of primary vesicoureteric reflux
Transurethral incision of duplex system ureteroceles in neonates: does it increase the need for secondary surgery in intravesical and ectopic cases?
Predictors of testicular viability in testicular torsion
Aim: Testicular torsion (TT) requires prompt diagnosis and treatment to avoid testicular loss. Most studies have focused on the ideal work up to rule TT out in cases of acute
scrotum. We attempted here to define objective criteria to select between orchidopexy and
orchidectomy in patients undergoing surgery for TT.
Patients and methods: Fifteen boys with a median age at presentation of 7.8 (range 6.4e12)
years undergoing surgical treatment for TT underwent color-Doppler ultrasound (CDU) preoperatively, and a bleeding test intraoperatively. Duration of preoperative history, degree of torsion, CDU findings and degree of bleeding were analyzed.
Results: Salvageability was independent of the degree of torsion. In patients with a history longer than 10 h, no flow on CDU and no bleeding, after orchidectomy all the testicles were necrotic on pathology. When all these variables were negative, all the testicles did well during
follow up. In the group of patients with no agreement among the analyzed variables, the outcome was unpredictable. Five out of six underwent orchidopexy, but in two cases the testicle
atrophied (in spite of flow on CDU in one).
Conclusions: No predictive parameters were found for testicular salvageability. Taken as
a whole, the parameters studied can be of help in treatment choice. In patients with no agreement among the parameters, orchidopexy seems the appropriate option, but parents should be
informed of the risk of testicular atrophy during follow up
Evoluzione delle tecniche chirurgiche nella correzione dell’ipospadia: analisi retrospettiva su 468 casi
- …
