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Surgery on Children

Surgery on Children Journal aims to publish issues related to Pediatric Surgery, Pediatric Neurosurgery, Pediatric Plastic Surgery, Pediatric Cardiovascular Surgery, Pediatric Orthopedic Surgery, Pediatric Vascular Surgery, Pediatric Gynecology and Obstetrics, Pediatric Ear Nose Throat, Ophthalmology, Pediatric Anesthesiology and Reanimation, Pediatric Urology, Pediatric Surgical Intensive Care Clinic, and other clinical surgery fields on children of the highest scientific and clinical value at an international level and accepts articles on these topics.

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Original Article
Manual detorsion allows time for orchidopexy in testicular torsion
Abstract
Aims: To investigate the efficacy of color Doppler ultrasound (CDUS)-guided manual detorsion (MD) as an immediate intervention in pediatric testicular torsion (TT) and its impact on testicular preservation, surgical timing, and postoperative outcomes.
Methods: A retrospective analysis was conducted on 43 pediatric patients who underwent surgery for TT between July 2019 and January 2025. Patients were divided into two groups based on whether MD was attempted prior to surgery (MD group, n=15) or not (non-MD group, n=28). MD success was defined by symptom resolution and confirmed reperfusion on CDUS. Data on symptom duration, time to surgery, intraoperative findings, orchiectomy rates, contralateral testicular fixation (CTF) feasibility, and postoperative complications were compared between groups.
Results: MD was successful in 14 of 15 cases (93.3%), significantly prolonging the median time to surgery (11 ± 5.9 hours) compared to the non-MD group (2.0 ± 1.28 hours; p<0.001), allowing for improved surgical conditions. Orchiectomy was avoided in all successful MD cases but required in four patients in the non-MD or failed MD group. Testicular atrophy occurred only in the non-MD group. CTF was more frequently performed in the MD group due to reduced scrotal edema. No recurrences or major complications were observed in the MD group during follow-up.
Conclusion: CDUS-guided MD is a safe and effective temporizing maneuver that facilitates testicular salvage and surgical planning in TT. However, timely orchidopexy remains essential to prevent recurrence and ensure optimal outcomes.

Keywords : Testicular torsion, manual detorsion, orchidopexy, reperfusion

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Article available in :
Volume 2, Issue 4, 2025
Page : 131-135
https://doi.org/10.51271/SOC-0051
Article Information
Received : 30 Tem 2025
Accepted : 21 Ağu 2025
Published : 01 Eki 2025
Corresponding Author :

Serpil Sancar: Department of Pediatric Surgery, Bursa City Hospital, Bursa, Turkiye

[email protected]
Citation : Sancar S, Anayurt M, Kırmacı İ, Dayı S. Manual detorsion allows time for orchidopexy in testicular torsion. Surg Child. 2025;2(4):131-135.

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