Gelişmiş Arama

Basit öğe kaydını göster

dc.contributor.authorAfşarlar, Çağatay Evrim
dc.contributor.authorElizondo, Rodolfo A.
dc.contributor.authorYılmaz, Engin
dc.contributor.authorÇakmakcı, Ertan
dc.contributor.authorBallow, Daniel J.
dc.contributor.authorDemir, Emre
dc.contributor.authorGüney, Güven
dc.contributor.authorKoh, Chester J.
dc.date.accessioned2019-05-13T09:04:02Z
dc.date.available2019-05-13T09:04:02Z
dc.date.issued2017
dc.identifier.citationAfsarlar, C. E., Elizondo, R., Yilmaz, E., Cakmakci, E., Ballow, D. J., Demir, E., ... & Koh, C. J. (2017). Ultrasonographic findings in the epididymis of pediatric patients with testicular torsion. Journal of pediatric urology, 13(4), 393-e1.en_US
dc.identifier.issn1477-5131
dc.identifier.urihttps://doi.org/10.1016/j.jpurol.2017.05.018
dc.identifier.urihttps://hdl.handle.net/11491/1579
dc.description.abstractIntroduction Although grayscale ultrasound and color Doppler ultrasound characteristics of the torsed testis are well established in the literature, less is known about its anatomic partner: the epididymis. Objective The purpose of this study was to describe the ultrasound characteristics of the epididymis in pediatric patients with testicular torsion, and to describe their potential role as prognostic criteria for testicular salvage outcomes. Study design During a retrospective review of 217 pediatric patients with acute testicular torsion during 2009–2016, morphological features of the epididymis from scrotal ultrasounds (size, parenchymal characteristics, and vascular flow of both epididymis heads), as well as patient demographics, time duration, surgical outcomes, histopathology results, and follow-up periods were analyzed. Results Mean epididymis size and twisting degree were significantly higher in the torsed testes than in the contralateral epididymis (P < 0.001) (Summary table). Cystic structures in the epididymis were identified: a higher number of cysts was associated with testicular non-viability (P = 0.025) and higher twisting degree (P = 0.017). Histopathologic examination showed that these spaces were infiltrated connective tissue most likely formed by venous congestion and vessel rupture. Discussion Scrotal ultrasound can provide information on testicular morphology and viability, as well as morphological changes in the epididymis over time in pediatric patients with testicular torsion. These findings may provide potential prognostic information regarding testicular viability, as a higher number of cystic spaces in the epididymis was associated with a higher rate of testicular non-viability and a higher twisting degree. In addition, the epididymis size (volume) can change during the time course of the ischemic state. Conclusions This was the first study to describe and analyze epididymis ultrasound findings in pediatric patients with testicular torsion and to correlate them with testicular salvage outcomes. Further prospective studies are needed to determine the role of epididymis ultrasound findings as a potential pre-operative prognostic tool.[Table presented] © 2017 Journal of Pediatric Urology Companyen_US
dc.language.isoeng
dc.publisherElsevier Ltden_US
dc.relation.isversionof10.1016/j.jpurol.2017.05.018en_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectChildrenen_US
dc.subjectEpididymisen_US
dc.subjectTesticular Torsionen_US
dc.subjectUltrasounden_US
dc.titleUltrasonographic findings in the epididymis of pediatric patients with testicular torsionen_US
dc.typearticleen_US
dc.relation.journalJournal of Pediatric Urologyen_US
dc.departmentHitit Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.authorid0000-0002-3834-3864en_US
dc.authorid0000-0001-8696-5193en_US
dc.authorid0000-0002-7716-8050en_US
dc.identifier.volume13en_US
dc.identifier.issue4en_US
dc.identifier.startpage3.93E+03en_US
dc.identifier.endpage3.93E+08en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US


Bu öğenin dosyaları:

DosyalarBoyutBiçimGöster

Bu öğe ile ilişkili dosya yok.

Bu öğe aşağıdaki koleksiyon(lar)da görünmektedir.

Basit öğe kaydını göster