- Clinical Relevance:
- Testicular torsion: incidence 1/4,000 males, pubescent males most
frequently affected, average testicular salvage rate 50-77%, can
result in infertility.6,7
- Longer delay of surgical intervention, increased risk of ischemia/infertility.
- Obtaining unnecessary ultrasounds for confirmation of diagnosis
delays surgical intervention, increases testicular loss, and is
not cost effective.
- Limitations of study:
- Gold standard for diagnosis not identified. Not all patients in
study underwent color Doppler ultrasound-was ordered at discretion
of treating physician. Authors do not state how diagnosis was concretely
- Retrospective study - if information was not documented in chart,
assumed negative response (i.e. if did not specify fever, assumed
afebrile). Authors did not report how much data was missing in chart
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Yazbeck S, Patriquin HB. Accuracy of Doppler sonography in the evaluation
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DD, Markey BJ, Burkhard TK, Balsara ZN, Haluszka MM, Canning DA. Suspected
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Dunne PJ, O'Loughlin BS. Testicular torsion: time is the enemy. ANZ
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