We 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.To read this article in full you will need to make a payment
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References
Van Doeveren T., Somani B.K., ‘t Hoen L.A., Haensel S.M.: Real-world management of testicular.
- torsion: level of adherence to the EAU Paediatric Urology guidelines. J Pediatr Urol 2022.Moore SL, Chebbout R, Cumberbatch M, et al. Orchidopexy for Testicular Torsion: a Systematic Review of Surgical Technique.Eur Urol Focus. 2021; 7: 1493-1503
- Recurrent torsion after previous testicular fixation.ANZ J Surg. 2002; 72: 46-48
- The European urology residents education programme hands-on training format: 4 Years of hands-on training improvements from the European school of urology.Eur Urol Focus. 2019; 5: 1152-1156
- The Dutch Health Care Performance Report: seven years of health care performance assessment in The Netherlands.Health Res Pol Syst. 2014 Jan 9; 12: 1
Article info
Publication history
Published online: October 21, 2022
Accepted:
October 10,
2022
Received:
October 7,
2022
Identification
Copyright
© 2022 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.
ScienceDirect
Access this article on ScienceDirectLinked Article
- Comment on: “Real-world management of testicular torsion: Level of adherence to the EAU Paediatric Urology guidelines.”Journal of Pediatric UrologyVol. 19Issue 1
- PreviewThis 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.
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