Journal of Pediatric Urology
Volume 4, Issue 3 , Pages 210-213 , June 2008

Testicular torsion: Orchiectomy or orchiopexy?

  • Seppo Taskinen

      Affiliations

    • Division of Surgery, Hospital for Children and Adolescents, University of Helsinki, Stenbäckinkatu 11, 00290 Helsinki, Finland
    • Corresponding Author InformationCorresponding author. Tel.: +358 50 4272542; fax: +358 9 47175314.
    • ,
  • Mervi Taskinen

      Affiliations

    • Division of Pediatrics, Hospital for Children and Adolescents, University of Helsinki, Stenbäckinkatu 11, 00290 Helsinki, Finland
    • ,
  • Risto Rintala

      Affiliations

    • Division of Surgery, Hospital for Children and Adolescents, University of Helsinki, Stenbäckinkatu 11, 00290 Helsinki, Finland

Received 24 June 2007 ,Accepted 9 November 2007.

References 

  1. Mansbach JM, Forbes P, Peters C. Testicular torsion and risk factors for orchiectomy. Arch Pediatr Adolesc Med. 2005;159:1167–1171
  2. Filho DW, Torres MA, Bordin AL, Crezcynski-Pasa TB, Boveris A. Spermatic cord torsion, reactive oxygen and nitrogen species and ischemia–reperfusion injury. Mol Aspects Med. 2004;25:199–210
  3. Bartsch G, Frank S, Marberger H, Mikuz G. Testicular torsion: late results with special regard to fertility and endocrine function. J Urol. 1980;124:375–378
  4. Puri P, Barton D, O'Donnell B. Prepubertal testicular torsion: subsequent fertility. J Pediatr Surg. 1985;20:598–601
  5. Ferreira U, Netto NR, Esteves SC, Rivero MA, Schirren C. Comparative study of the fertility potential of men with only one testis. Scand J Urol Nephrol. 1991;25:255–259
  6. Hagen P, Buchholz MM, Eigenmann J, Bandhauer K. Testicular dysplasia causing disturbance of spermiogenesis in patients with unilateral torsion of the testis. Urol Int. 1992;49:154–157
  7. Kumanov P, Nandipati K, Tomova A, Agarwal A. Inhibin B is a better marker of spermatogenesis than other hormones in the evaluation of male factor infertility. Fertil Steril. 2006;86:332–338
  8. Zitzmann M, Nordhoff V, von Schonfeld V, Nordsiek-Mengede A, Kliesch S, Schuring AN, et al. Elevated follicle-stimulating hormone levels and the chances for azoospermic men to become fathers after retrieval of elongated spermatids from cryopreserved testicular tissue. Fertil Steril. 2006;86:339–347
  9. Cortes D, Thorup J, Hogdall E, Norgaard-Pedersen B, Petersen BL, Hogdall C. The relation of germ cells per tubule in testes, serum inhibin B and FSH in cryptorchid boys. Pediatr Surg Int. 2007;23:163–169
  10. Crofton PM, Evans AEM, Groome NP, Taylor MRH, Holland CV, Kelnar CJH. Inhibin B in boys from birth to adulthood: relationship with age, pubertal stage, FSH and testosterone. Clin Endocrinol. 2002;56:215–221
  11. Kalfa N, Veyrac C, Lopez M, Lopez C, Maurel A, Kaselas C, et al. Multicenter assessment of ultrasound of the spermatic cord in children with acute scrotum. J Urol. 2007;177:297–301
  12. Dunne PJ, O'Loughlin BS. Testicular torsion: time is the enemy. Aust N Z J Surg. 2000;70:441–442
  13. Anderson JB, Williamson RCN. Testicular torsion in Bristol: a 25 year review. Br J Surg. 1988;75:988–992
  14. Schalamon J, Ainoedhofer H, Schleef J, Singer G, Haxhija EQ, Hollwarth ME. Management of acute scrotum in children—the impact of Doppler ultrasound. J Pediatr Surg. 2006;41:1377–1380
  15. Dominguez C, Martinez Verduch M, Estornell F, Garcia F, Hernandez M, Garcia-Ibarra F. Histological study in contralateral testis of prepubertal children following unilateral testicular torsion. Eur Urol. 1994;26:160–163
  16. Hadziselimovic F, Geneto R, Emmons LR. Increased apoptosis in the contralateral testes of patients with testicular torsion as a factor for infertility. J Urol. 1998;160:1158–1160
  17. Sinisi AA, Di Finizio B, Lettieri F, Pasquali D, Scurini C, De Bellis A, et al. Late gonadal function and autoimmunization in familial testicular torsion. Arch Androl. 1993;30:147–152
  18. Kojima Y, Hayashi Y, Mizuno K, Kurokawa S, Sasaki S, Kohri K. Assessment of serum follicle-stimulating hormone level and testicular volume for prediction of paternity potential in pubertal boys who underwent bilateral orchiopexy in childhood. J Urol. 2006;175:2290–2294
  19. Irkilata HC, Yildirim I, Onguru O, Aydur E, Musabak U, Dayanc M. The influence of orchiopexy on serum inhibin B level: relationship with histology. J Urol. 2004;172:2402–2405
  20. Cicognani A, Cacciari E, Pasini A, Burnelli R, De Iasio R, Pirazzoli P, et al. Low serum inhibin B levels as a marker of testicular damage after treatment for a childhood malignancy. Eur J Pediatr. 2000;159:103–107
  21. Raivio T, Saukkonen S, Jääskeläinen J, Komulainen J, Dunkel L. Signaling between the pituitary gland and the testes: inverse relationship between serum FSH and inhibin B concentrations in boys in early puberty. Eur J Endocrinol. 2000;142:150–156
  22. Taskinen S, Hovatta O, Wikstrom S. Early treatment of cryptorchidism, semen quality and testicular endocrinology. J Urol. 1996;156:82–84
  23. Anderson MJ, Dunn JK, Lipschultz LI, Coburn M. Semen quality and endocrine parameters after acute testicular torsion. J Urol. 1992;147:1545–1550

PII: S1477-5131(07)00473-1

doi: 10.1016/j.jpurol.2007.11.007

Journal of Pediatric Urology
Volume 4, Issue 3 , Pages 210-213 , June 2008

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