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Response from the authors to the comment on: “Real-world management of testicular torsion: Level of adherence to the EAU paediatric urology guidelines.”

Published:October 21, 2022DOI:https://doi.org/10.1016/j.jpurol.2022.10.018
      We are very grateful for the supportive commentary done by the authors on our paper [

      Van Doeveren T., Somani B.K., ‘t Hoen L.A., Haensel S.M.: Real-world management of testicular.

      ]. 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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      References

      1. Van Doeveren T., Somani B.K., ‘t Hoen L.A., Haensel S.M.: Real-world management of testicular.

      2. 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.
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      Linked Article

      • Comment on: “Real-world management of testicular torsion: Level of adherence to the EAU Paediatric Urology guidelines.”
        Journal of Pediatric Urology
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          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.
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