Journal of pediatric urology · 2026
Pathological re-evaluation of testicular torsion specimens: Implications for surgical intervention strategies.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Chen Pengyu, Wang Yue, Su Jiahong, Miao Qiuling, Yang Zhilin, Li Weimo, Sun Xuerui, Huang Weipeng, Li Shoulin
Аннотация
OBJECTIVE: This study aims to conduct a retrospective pathological analysis of testicular tissue specimens excised due to testicular torsion, to reassess the validity of previous surgical decisions and provide a comprehensive summary of the appropriate surgical indications for orchiectomy.
METHODS: Medical records of patients who underwent orchiectomy due to testicular torsion at XXX Hospital between 2015 and 2023 were reviewed, and the excised testicular specimens were re-evaluated using the Mikuz grading system.
RESULTS: 113 patients who underwent orchiectomy were included in this study. Following the Mikuz classification, 14 patients were classified as Grade 1, 31 as Grade 2, and 68 as Grade 3. A longer duration of symptoms was associated with a lower proportion of patients with Grade 1 testicular injury while increasing age was correlated with a higher likelihood of developing Grade 1. In the Grade 1 group, 78.6 % of patients had a monocyte count of less than 0.5 × 109/L, whereas the monocyte counts in the Grade 2 and Grade 3 groups were significantly higher than those in the Grade 1 group.
CONCLUSION: The findings of this study indicate that 12.4 % (14/113) of patients who underwent orchiectomy had low-grade testicular injury. Currently, objective measures are deficient for assessing the extent of testicular injury post-torsion, necessitating cautious decision-making regarding orchiectomy during surgical intervention. Patients presenting with brief symptom duration and low monocyte count may be more suitable candidates for orchiopexy as opposed to orchiectomy.
METHODS: Medical records of patients who underwent orchiectomy due to testicular torsion at XXX Hospital between 2015 and 2023 were reviewed, and the excised testicular specimens were re-evaluated using the Mikuz grading system.
RESULTS: 113 patients who underwent orchiectomy were included in this study. Following the Mikuz classification, 14 patients were classified as Grade 1, 31 as Grade 2, and 68 as Grade 3. A longer duration of symptoms was associated with a lower proportion of patients with Grade 1 testicular injury while increasing age was correlated with a higher likelihood of developing Grade 1. In the Grade 1 group, 78.6 % of patients had a monocyte count of less than 0.5 × 109/L, whereas the monocyte counts in the Grade 2 and Grade 3 groups were significantly higher than those in the Grade 1 group.
CONCLUSION: The findings of this study indicate that 12.4 % (14/113) of patients who underwent orchiectomy had low-grade testicular injury. Currently, objective measures are deficient for assessing the extent of testicular injury post-torsion, necessitating cautious decision-making regarding orchiectomy during surgical intervention. Patients presenting with brief symptom duration and low monocyte count may be more suitable candidates for orchiopexy as opposed to orchiectomy.