ACADSTAFF UGM

CREATION
Title : Prognostic Factors for Pediatric Testicular Torsion Outcomes
Author :

Manohara Maruti (1) Fiko Ryantono (2) Hamzah Muhammad Hafiq (3) Dr. dr. Akhmad Makhmudi, Sp.B., Sp.BA.,Subsp.D.A(K) (4) Prof. dr. Gunadi, Ph.D, Sp.BA., Subsp.DA(K) (5)

Date : 22 2020
Keyword : prognostic factor,testicular torsion,orchiectomy,fever prognostic factor,testicular torsion,orchiectomy,fever
Abstract : Introduction: Testicular torsion is a urological emergency causing spermatic cord twisting. Delayed management can cause poor outcome, i.e. orchiectomy. Here, we investigated several prognostic factors, including age, onset, clinical symptoms, leukocyte count, for testicular torsion outcomes (orchiectomy vs. orchiopexy) in children in Indonesia. Methods: A retrospective review of 23 patients with testicular torsion who underwent scrotal exploration from July 2013 to November 2018 at our institution was done. Results: The age at testicular torsion diagnosis was 12.8 (interquartile range, 4.6-15.1) years. Only fever showed strong significant prognostic factor for orchiectomy (OR=20; 95% CI=1.6 – 248; p=0.017), while other factors were not, with p-value of 0.54, 1.0, 1.0, 0.19, 1.0, 0.62, 0.62, 0.58, and 0.62, for age, onset, scrotal pain, abdominal pain, hyperemia, edema, nausea, vomitus and white blood cells count, respectively. Furthermore, logistic regression test also revealed that fever is a strong prognostic factor for orchiectomy (OR=22.6; 95% Cl=1.3 – 394.2; p=0.033). Conclusion: The patient with testicular torsion with fever tends to undergo orchiectomy. Further multicenter studies with a larger sample size are necessary to confirm our findings.
Group of Knowledge : Bedah (Umum, Plastik, Orthopaedi, Urologi, Dll)
Original Language : English
Level : Internasional
Status :
Published
Document
No Title Document Type Action
1 Full Document_Jun 2020_Prognostic Factors for Pediatric Testicular Torsion.pdf
Document Type : [PAK] Full Dokumen
[PAK] Full Dokumen View
2 Prognostic Factors for Pediatric Testicular Torsion Outcomes.pdf
Document Type : [PAK] Cek Similarity
[PAK] Cek Similarity View
3 BuktiKorespondensi_TestesTorsion.pdf
Document Type : [PAK] Bukti Korespondensi Penulis
[PAK] Bukti Korespondensi Penulis View
4 Surat Keterangan Karya Ilmiah Belum Pernah Diajukan - Gunadi.pdf
Document Type : Dokumen Pendukung Karya Ilmiah (Hibah, Publikasi, Penelitian, Pengabdian)
Dokumen Pendukung Karya Ilmiah (Hibah, Publikasi, Penelitian, Pengabdian) View