"Diagnosis, treatment, outcome, and reasons for delayed treatment of cryptorchidism with torsion in children: a 16-year retrospective study in a large pediatric medical center"

作者全名："Yang, Meng; Wen, Sheng; Lin, Tao; Liu, Xing; Zhang, De-Ying; Liu, Feng; Wu, Sheng-De; Wei, Guang-Hui; He, Pei-Ru; Hua, Yi"

作者地址："[Yang, Meng; Wen, Sheng; Lin, Tao; Liu, Xing; Zhang, De-Ying; Liu, Feng; Wu, Sheng-De; Wei, Guang-Hui; He, Pei-Ru; Hua, Yi] Chongqing Med Univ, Dept Urol, Childrens Hosp, Chongqing 400000, Peoples R China; [Yang, Meng; Wen, Sheng; Lin, Tao; Liu, Xing; Zhang, De-Ying; Liu, Feng; Wu, Sheng-De; Wei, Guang-Hui; Hua, Yi] Chongqing Med Univ, Pediat Res Inst, Childrens Hosp, Chongqing 400000, Peoples R China; [Yang, Meng; Wen, Sheng; Lin, Tao; Liu, Xing; Zhang, De-Ying; Liu, Feng; Wu, Sheng-De; Wei, Guang-Hui; Hua, Yi] Chongqing Med Univ, Minist Educ, Key Lab Child Dev & Disorders, Chongqing 400000, Peoples R China; [Yang, Meng; Wen, Sheng; Lin, Tao; Liu, Xing; Zhang, De-Ying; Liu, Feng; Wu, Sheng-De; Wei, Guang-Hui; Hua, Yi] Chongqing Med Univ, Natl Clin Res Ctr Child Hlth & Disorders, Childrens Hosp, Chongqing 400000, Peoples R China; [Yang, Meng; Wen, Sheng; Lin, Tao; Liu, Xing; Zhang, De-Ying; Liu, Feng; Wu, Sheng-De; Wei, Guang-Hui; Hua, Yi] Chongqing Med Univ, China Int Sci & Technol Cooperat Base Child Dev &, Childrens Hosp, Chongqing 400000, Peoples R China; [Yang, Meng; Wen, Sheng; Lin, Tao; Liu, Xing; Zhang, De-Ying; Liu, Feng; Wu, Sheng-De; Wei, Guang-Hui; Hua, Yi] Chongqing Key Lab Children Urogenital Dev & Tissue, Chongqing Key Lab Pediat, Chongqing 400000, Peoples R China"

通信作者："Hua, Y (通讯作者)，Chongqing Med Univ, Dept Urol, Childrens Hosp, Chongqing 400000, Peoples R China.; Hua, Y (通讯作者)，Chongqing Med Univ, Pediat Res Inst, Childrens Hosp, Chongqing 400000, Peoples R China.; Hua, Y (通讯作者)，Chongqing Med Univ, Minist Educ, Key Lab Child Dev & Disorders, Chongqing 400000, Peoples R China.; Hua, Y (通讯作者)，Chongqing Med Univ, Natl Clin Res Ctr Child Hlth & Disorders, Childrens Hosp, Chongqing 400000, Peoples R China.; Hua, Y (通讯作者)，Chongqing Med Univ, China Int Sci & Technol Cooperat Base Child Dev &, Childrens Hosp, Chongqing 400000, Peoples R China.; Hua, Y (通讯作者)，Chongqing Key Lab Children Urogenital Dev & Tissue, Chongqing Key Lab Pediat, Chongqing 400000, Peoples R China."

来源：ASIAN JOURNAL OF ANDROLOGY

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:000834286100008

JCR分区：Q2

影响因子：2.9

年份：2022

卷号：24

期号：4

开始页：386

结束页：389

文献类型：Article

关键词：children; cryptorchidism; testicular torsion

摘要："We describe and summarize the diagnosis, treatment, and reasons for delayed treatment of children with cryptorchidism torsion in Children's Hospital of Chongqing Medical University. The study included 19 cases of cryptorchidism torsion. The age of the children ranged from 16 days to 12 years (median: 6 years). The interval from diagnosis to surgery varied from 4 h to 16 days (median: 3 days). Ultrasound was performed in all cases. Fifteen cases had cryptorchidism torsion, 2 cases had a soft tissue mass in the inguinal region, and 2 cases had an inguinal/abdominal teratoma. Five cases were treated with an orchidopexy, 12 cases were treated with orchiectomy, and 2 cases received resection of a testicular tumor. The 5 children with an orchidopexy were followed up from 1 month to 7 years (median: 3 years), with 1 child having a testis retraction and no blood supply. Of the 12 children who had an orchiectomy, three had delayed diagnosis due to family unawareness of the condition, while other delays were due to delayed referral from primary care facilities. The relative rarity and insufficient awareness of cryptorchidism torsion resulted in a low rate of testicular salvage. Therefore, hospitals of all levels should be fully aware of cryptorchidism with torsion and ensure a male child's genital system and inguinal region are examined to improve the success rate of testicular salvage."

基金机构：Basic Research and Frontier Exploration Project of Chongqing Science and Technology Bureau of Yuzhong District [20200151]

基金资助正文：This study was supported by the Basic Research and Frontier Exploration Project of Chongqing Science and Technology Bureau of Yuzhong District (No. 20200151).