Scholarlink

Purpose <p>To evaluate the occurrence and timing of metachronous contralateral testicular torsion (CLTT) in patients with testicular torsion (TT) managed without contralateral orchiopexy (CLOP).</p> Methods <p>We retrospectively reviewed patients who underwent emergency TT surgery without CLOP at our hospital between April 2013 and April 2025. Patients with less than 6 months of follow-up, extravaginal torsion, or prior scrotal surgery were excluded. Primary outcomes included CLTT occurrence and time to CLTT.</p> Results <p>Of 40 patients surgically treated for TT, 24 met inclusion criteria. Median age at surgery was 14.0 years; 75.0% had left-sided TT. A bell-clapper deformity on the affected side was identified in 33.3%. Nineteen patients underwent orchiopexy, and five underwent orchiectomy. The median follow-up duration was 75.3 months. CLTT occurred in 1 of 24 patients (4.2%; 95% CIs, 0.1–21.1%) at 55.3 months after the initial surgery. The patient experienced the initial TT at age 16 years and developed CLTT at age 21 years.</p> Conclusion <p>CLTT can develop several years after the initial episode of TT, and it may occur in adulthood when CLOP is not performed at the time of adolescent onset. However, the small sample size and descriptive design preclude definitive conclusions.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Late metachronous contralateral torsion after testicular torsion without contralateral orchiopexy: a mid- to long-term follow-up study

  • 期刊论文

  • 发表日期：

    2026年6月26日

查看全文
  • Junki Harada,
  • Kensuke Mitsunari,
  • Shota Kakita,
  • Jun Sakaguchi,
  • Shintaro Mori,
  • Hajime Fukushima,
  • Hiroki Kurata,
  • Tsuyoshi Matsuda,
  • Itsuho Ito,
  • Kyohei Araki,
  • Yuichiro Nakamura,
  • Tomohiro Matsuo,
  • Kojiro Ohba,
  • Yasushi Mochizuki,
  • Ryoichi Imamura

摘要

Purpose

To evaluate the occurrence and timing of metachronous contralateral testicular torsion (CLTT) in patients with testicular torsion (TT) managed without contralateral orchiopexy (CLOP).

Methods

We retrospectively reviewed patients who underwent emergency TT surgery without CLOP at our hospital between April 2013 and April 2025. Patients with less than 6 months of follow-up, extravaginal torsion, or prior scrotal surgery were excluded. Primary outcomes included CLTT occurrence and time to CLTT.

Results

Of 40 patients surgically treated for TT, 24 met inclusion criteria. Median age at surgery was 14.0 years; 75.0% had left-sided TT. A bell-clapper deformity on the affected side was identified in 33.3%. Nineteen patients underwent orchiopexy, and five underwent orchiectomy. The median follow-up duration was 75.3 months. CLTT occurred in 1 of 24 patients (4.2%; 95% CIs, 0.1–21.1%) at 55.3 months after the initial surgery. The patient experienced the initial TT at age 16 years and developed CLTT at age 21 years.

Conclusion

CLTT can develop several years after the initial episode of TT, and it may occur in adulthood when CLOP is not performed at the time of adolescent onset. However, the small sample size and descriptive design preclude definitive conclusions.