A Survey of Current Practice in Operative Management of Testicular Torsion in Poland
Abstract
1. Introduction
2. Materials and Methods
3. Results
3.1. Management of Torsed Testicle
3.2. Management of Contralateral Testicle
3.3. Additional Manoeuvres
3.4. Re-Operations
4. Discussion
4.1. Management of Torsed Testicle
4.2. Management of Contralateral Testicle
4.3. Additional Manoeuvres
4.4. Re-Operations
4.5. Other Considerations
Limitations of the Study
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Appendix A
- Fixation of the torsed testicle:
- -
- Suture fixation, absorbable
- -
- Suture fixation, non-absorbable
- -
- Sutureless fixation, Jaboulay procedure
- -
- Sutureless fixation, Dartos pouch
- -
- Other, please specify
- In case of suture fixation, number of sutures used:
- -
- 2
- -
- 3
- -
- 4
- -
- Other, please specify
- Contralateral fixation:
- -
- routinely, single procedure
- -
- routinely as elective procedure
- -
- only in case of necrosis and orchidectomy, single procedure
- -
- only in case of necrosis and orchidectomy, elective procedure
- -
- other, please specify
- Contralateral access:
- -
- through midline raphe
- -
- Individual incision on both sides
- -
- Other, please specify
- Amputation of Morgagni appendix
- -
- routinely during the procedure
- -
- no
- -
- other, please specify
- Fixation of the testis if the diagnosis at exploration is not torsion:
- -
- yes
- -
- no
- -
- other, please specify
- Have you ever had a patient requiring re-operation after testicular torsion:
- -
- yes
- -
- no
- -
- I am not sure
- -
- other, please specify
- If yes, what was the method of primal fixation;
- -
- Suture fixation, absorbable
- -
- Suture fixation, non-absorbable
- -
- Sutureless fixation, Jaboulay procedure
- -
- Sutureless fixation, Dartos pouch
- -
- Other, please specify
- Please specify the cause and the outcomes of the reoperation: -
- Approximate number of cases per year:
- -
- <10
- -
- 10–30
- -
- 30–50
- -
- >50
- -
- I am not able to determine
- -
- other, please specify
References
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N = 99 | |
Paediatric Surgery Resident | 35 (35%) |
Paediatric Surgery Specialist | 64 (65%) |
Head of Department | 15 (15%) |
Paediatric Urology Specialist | 9 (9%) |
Male | 60 (61%) |
Female | 39 (39%) |
Practice environment | |
Academic Institution | 58 (59%) |
Regional Hospital | 20 (20%) |
Other | 21 (21%) |
Fixation of torsed testicle | 97 (98%) |
Fixation with suture | 94 (95%) |
Absorbable | 48 (48%) |
Non-absorbable | 42 (42%) |
Usage of both types | 4 (4%) |
Sutureless fixation | |
Combined with sutures | 5 (5%) |
Only sutureless | 3 (3%) |
Without fixation | 2 (2%) |
Number of sutures | |
2 | 56 (57%) |
3 | 31 (31%) |
4 | 3 (3%) |
Variable (2–5) | 4 (4%) |
Fixation of contralateral normal testis | |
Always | 69 (70%) |
Only in case of TT with gangrene | 28 (28%) |
Never | 2 (2%) |
Timing of fixation of the contralateral normal testis | |
At the initial exploration | 67 (68%) |
Elective at later surgical session | 30 (30%) |
Never | 2 (2%) |
Contralateral access | |
Individual incision on both sides | 79 (80%) |
Through midline raphe | 17 (17%) |
Midline incision | 1 (1%) |
Amputation of Morgagni appendix | |
Yes | 95 (96%) |
No | 4 (4%) |
Fixation without torsion | |
Yes | 18 (18%) |
No | 77 (78%) |
Sometimes | 3 (3%) |
When anatomical anomaly present | 5 (5%) |
Reported re-operation | |
Yes | 15 (15%) |
No | 77 (77%) |
Maybe | 8 (8%) |
Estimated number of observed cases per year | |
<10 | 27 (27%) |
10–30 | 44 (44%) |
30–50 | 3 (3%) |
No data | 24 (24%) |
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Piotrowska-Gall, A.; Stępień, P.; Wolak, P. A Survey of Current Practice in Operative Management of Testicular Torsion in Poland. Children 2023, 10, 643. https://doi.org/10.3390/children10040643
Piotrowska-Gall A, Stępień P, Wolak P. A Survey of Current Practice in Operative Management of Testicular Torsion in Poland. Children. 2023; 10(4):643. https://doi.org/10.3390/children10040643
Chicago/Turabian StylePiotrowska-Gall, Aneta, Piotr Stępień, and Przemysław Wolak. 2023. "A Survey of Current Practice in Operative Management of Testicular Torsion in Poland" Children 10, no. 4: 643. https://doi.org/10.3390/children10040643
APA StylePiotrowska-Gall, A., Stępień, P., & Wolak, P. (2023). A Survey of Current Practice in Operative Management of Testicular Torsion in Poland. Children, 10(4), 643. https://doi.org/10.3390/children10040643