FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W4384133321> ?p ?o ?g. }

• W4384133321 endingPage "234" @default.
• W4384133321 startingPage "234" @default.
• W4384133321 abstract "We sincerely appreciate Dr. Koyle’s supportive and insightful editorial of our study, where we brought to the fore the role of manual detorsion that we adopted as first line treatment for testicular torsion in children during the COVID-19 pandemic. Indeed, the global health threat presented during the surge limited the ability to perform even somewhat urgent urologic surgeries, such as scrotal exploration for testicular torsion. Dr. Koyle elegantly concluded his editorial reporting the quote from Winston Churchill “When you’re going through hell, keep going”. This fits well with the scenario encountered during the pandemic, where necessity became a mother of opportunity. However, manual testicular detorsion was already there at hand, known since 1893 when Dr. Nash first reported the successful attempt to untwist a testicular torsion without operation. 1 Nash W.G. Acute torsion of spermatic cord: reduction: immediate relief. Br Med J. 1893; 1: 742-743 Google Scholar The main reason why this maneuver has not gained widespread popularity is likely because it is bound to be painful, thus discouraging clinicians from performing such treatment. Additionally, many colleagues consider manual detorsion bothersome because orchidopexy is needed anyhow. With regard to the distressing feeling of pain caused by manual detorsion, the commentary raises the opportunity for sedation, cord blocks, and/or analgesia to allow patients to tolerate manual detorsion in a more humane way. Indeed, severe and sudden scrotal pain is a worrisome symptom associated with testicular torsion, which is a time-sensitive emergency where prompt treatment can make a big difference in minimizing the duration of testis ischemia. We demonstrated that manual detorsion is a fast and effective maneuver followed by an immediate pain relief and testicular blood flow restoration. Therefore, the time saved is worth the short-lived pain experienced during the maneuver, which we believe is currently a small price to pay for testis salvation. Nonetheless, we wholeheartedly agree with the need for further research and clinical development in the management of pain to perform manual detorsion under less painful circumstances. The other remarkable point raised by the editorial concerns the increasing use of point-of-care ultrasonography as a more widely available alternative to Doppler ultrasonography for aiding in the diagnosis of testicular torsion. In today’s health care climate of limited resources and insufficient access to diagnostic imaging for a variety of reasons, we recognize that scrotal point-of-care ultrasonography is a versatile tool that can be learned effectively by adequately trained nonradiologists. We, therefore, trust that our encouraging experience will stimulate other colleagues, either surgical or nonsurgical, to embark on preoperative manual detorsion. We concur with Cattolica that this maneuver, when successfully performed, enables 100% salvage of the detorsed testes. 2 Cattolica E.V. Preoperative manual detorsion of the torsed spermatic cord. J Urol. 1985; 133: 803-805https://doi.org/10.1016/s0022-5347(17)49233-0 Crossref PubMed Google Scholar" @default.
• W4384133321 created "2023-07-14" @default.
• W4384133321 creator A5015657713 @default.
• W4384133321 creator A5048032566 @default.
• W4384133321 date "2023-10-01" @default.
• W4384133321 modified "2023-10-12" @default.
• W4384133321 title "Re: Author Reply to Editorial Comment" @default.
• W4384133321 cites W2463427031 @default.
• W4384133321 doi "https://doi.org/10.1016/j.urology.2023.04.042" @default.
• W4384133321 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/37451910" @default.
• W4384133321 hasPublicationYear "2023" @default.
• W4384133321 type Work @default.
• W4384133321 citedByCount "0" @default.
• W4384133321 crossrefType "journal-article" @default.
• W4384133321 hasAuthorship W4384133321A5015657713 @default.
• W4384133321 hasAuthorship W4384133321A5048032566 @default.
• W4384133321 hasConcept C122980154 @default.
• W4384133321 hasConcept C141071460 @default.
• W4384133321 hasConcept C142724271 @default.
• W4384133321 hasConcept C15744967 @default.
• W4384133321 hasConcept C2778896829 @default.
• W4384133321 hasConcept C2779134260 @default.
• W4384133321 hasConcept C2779170295 @default.
• W4384133321 hasConcept C3008058167 @default.
• W4384133321 hasConcept C524204448 @default.
• W4384133321 hasConcept C61434518 @default.
• W4384133321 hasConcept C71924100 @default.
• W4384133321 hasConcept C77805123 @default.
• W4384133321 hasConceptScore W4384133321C122980154 @default.
• W4384133321 hasConceptScore W4384133321C141071460 @default.
• W4384133321 hasConceptScore W4384133321C142724271 @default.
• W4384133321 hasConceptScore W4384133321C15744967 @default.
• W4384133321 hasConceptScore W4384133321C2778896829 @default.
• W4384133321 hasConceptScore W4384133321C2779134260 @default.
• W4384133321 hasConceptScore W4384133321C2779170295 @default.
• W4384133321 hasConceptScore W4384133321C3008058167 @default.
• W4384133321 hasConceptScore W4384133321C524204448 @default.
• W4384133321 hasConceptScore W4384133321C61434518 @default.
• W4384133321 hasConceptScore W4384133321C71924100 @default.
• W4384133321 hasConceptScore W4384133321C77805123 @default.
• W4384133321 hasLocation W43841333211 @default.
• W4384133321 hasLocation W43841333212 @default.
• W4384133321 hasOpenAccess W4384133321 @default.
• W4384133321 hasPrimaryLocation W43841333211 @default.
• W4384133321 hasRelatedWork W1997519378 @default.
• W4384133321 hasRelatedWork W2156461946 @default.
• W4384133321 hasRelatedWork W2269777039 @default.
• W4384133321 hasRelatedWork W2410170830 @default.
• W4384133321 hasRelatedWork W2543474405 @default.
• W4384133321 hasRelatedWork W2575380028 @default.
• W4384133321 hasRelatedWork W2803576419 @default.
• W4384133321 hasRelatedWork W3195581248 @default.
• W4384133321 hasRelatedWork W3196846056 @default.
• W4384133321 hasRelatedWork W4297835391 @default.
• W4384133321 hasVolume "180" @default.
• W4384133321 isParatext "false" @default.
• W4384133321 isRetracted "false" @default.
• W4384133321 workType "article" @default.