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Sonographic prediction of viability in testicular torsion: preliminary observations

Middleton, W D ; Middleton, M A ; Dierks, M ; Keetch, D ; Dierks, S

Journal of ultrasound in medicine, 1997-01, Vol.16 (1), p.23-27 [Periódico revisado por pares]

Laurel, MD: American Institute of Ultrasound in Medicine

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Título:
Sonographic prediction of viability in testicular torsion: preliminary observations
Autor: Middleton, W D ; Middleton, M A ; Dierks, M ; Keetch, D ; Dierks, S
Assuntos: Adolescent ; Adult ; Biological and medical sciences ; Genital system. Mammary gland ; Gynecology. Andrology. Obstetrics ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Male ; Male genital diseases ; Medical sciences ; Non tumoral diseases ; Orchiectomy ; Retrospective Studies ; Spermatic Cord Torsion - diagnostic imaging ; Spermatic Cord Torsion - pathology ; Spermatic Cord Torsion - surgery ; Testicular Hydrocele - diagnostic imaging ; Testis - diagnostic imaging ; Testis - pathology ; Tissue Survival ; Ultrasonic investigative techniques ; Ultrasonography
É parte de: Journal of ultrasound in medicine, 1997-01, Vol.16 (1), p.23-27
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Descrição: This study was performed to determine if sonography can assist in predicting testicular viability in the setting of testicular torsion. Sixteen patients with sonographically diagnosed and surgically proved testicular torsion were studied. The preoperative sonograms were reviewed retrospectively to determine testicular echogenicity and homogeneity, testicular size and vascularity, scrotal skin thickness and vascularity, and the presence or absence of a hydrocele. These findings were correlated with the viability of the testis at surgery. All nine patients with normal homogeneous testicular echogenicity had viable testes at surgery. All seven patients with hypoechoic or inhomogeneous testes had nonviable testes at surgery and pathologic evidence of necrosis. The other findings were less helpful in predicting viability. In the setting of testicular torsion, normal testicular echogenicity is a strong predictor of viability. Immediate surgical detorsion in these patients carries a very high likelihood of salvaging the affected testis.
Editor: Laurel, MD: American Institute of Ultrasound in Medicine
Idioma: Inglês

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Sonographic prediction of viability in testicular torsion: preliminary observations

Middleton, W D ; Middleton, M A ; Dierks, M ; Keetch, D ; Dierks, S

Laurel, MD: American Institute of Ultrasound in Medicine

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