This survey study reports on the “real-world” management of testicular torsion with
respect to the recommendations published in the EAU Paediatric Urology guidelines
[
[1]
]. The greatest number of respondents were from The Netherlands (71%) and thus, most
of the results reflect Dutch practice patterns. Or, more accurately, it reflects the
practice patterns that are immediately recalled upon filling out the survey, since
82% report treating fewer than 5 cases in the past year. Although the authors found
that most responders adhere to EAU guidelines, a sizable proportion (23%) do not pursue
emergency surgery, nor do they perform fixation of the testis, despite the published
and accessible recommendations of the panel.To read this article in full you will need to make a payment
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References
- Real-world management of testicular torsion: Level of adherence to the EAU Paediatric Urology guidelines.J Pediatr Urol. 2022;
- Salvage surgery rates for pediatric testicular torsion: comparison of the pre- and post-quality metric eras.J Urol. 2022 Aug; 208: 441-447
- The Dutch Health Care Performance Report: seven years of health care performance assessment in The Netherlands.Health Res Policy Syst. 2014 Jan 9; 12: 1
- Published surgical success rates in pediatric urology – fact or fiction?.J Urol. 2012 Oct; 188: 1643-1647
Article info
Publication history
Published online: October 14, 2022
Accepted:
September 29,
2022
Received:
September 26,
2022
Identification
Copyright
© 2022 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.
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- Real-world management of testicular torsion: Level of adherence to the EAU Pediatric Urology guidelinesJournal of Pediatric UrologyVol. 19Issue 1Open Access
- Response from the authors to the comment on: “Real-world management of testicular torsion: Level of adherence to the EAU paediatric urology guidelines.”Journal of Pediatric UrologyVol. 19Issue 1
- PreviewWe are very grateful for the supportive commentary done by the authors on our paper [1]. Clearly the commentary has raised some important aspects of European Association of Urology (EAU) guidelines that were not observed by 23% of the respondents. Perhaps they were not aware of the guidelines but more worryingly the medicolegal and patient-related consequences of a further episode of testicular torsion or missed torsion leading to testicular loss.
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