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- W3199170294 abstract "AIM Testicular torsion is a surgical emergency and delayed operative management can negatively impact fertility. The aims of this study were to establish patterns of ultrasound use, correlate ultrasound and intraoperative findings and determine the impact of ultrasound on admission-to-operation time in patients undergoing scrotal exploration for suspected torsion. METHOD All adult patients who underwent acute scrotal exploration for suspected torsion between 2007 and 2017 at Auckland City Hospital were included (n=316). Clinical notes were reviewed for demographic and clinical data. Admission-to-operation time was compared between patients who had a formal ultrasound and those who did not. RESULTS Ultrasound was performed in 153/316 (48.4%) patients. Ultrasound sensitivity and specificity for torsion was 97.8% and 52.9% respectively. Median admission-to-operation time was 106 minutes for patients who did not have an ultrasound and 225 minutes for those who did (excluding those with missed torsion on ultrasound) (p=<0.0001). Non-viable testicle was identified intraoperatively in 11/163 patients (6.7%) who did not have an ultrasound, and in 42/122 (34.4%) of those who did (excluding those with missed torsion on ultrasound) (p=<0.0001). CONCLUSION Ultrasound is a sensitive test for testicular torsion but associated with an average two-hour delay to theatre and a higher rate of intraoperative finding of non-viable testicle in this centre." @default.
- W3199170294 created "2021-09-27" @default.
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- W3199170294 date "2021-09-17" @default.
- W3199170294 modified "2023-09-23" @default.
- W3199170294 title "Ultrasound use in suspected testicular torsion: an association with delay to theatre and increased intraoperative finding of non-viable testicle." @default.
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