{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T04:20:01Z","timestamp":1787718001068,"version":"build-2784847793"},"reference-count":20,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:00:00Z","timestamp":1787011200000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJUI Compass"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To describe a reproducible single\u2010incision dartos pouch orchiopexy technique for adult patients requiring testicular fixation, report early outcomes from an initial adult series and critically appraise the evidence supporting conventional trans\u2010tunical suture fixation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods<\/jats:title>\n                    <jats:p>A stepwise description is presented of a proximal\u2010reflection dartos pouch orchiopexy performed through a single high transverse scrotal incision, in which the parietal tunica vaginalis is reflected proximally over the spermatic cord before dependent subdartos placement of the testis without trans\u2010tunical or transparenchymal fixation sutures. Perioperative outcomes from an initial adult case series are reported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 22 dartos pouch orchiopexies were performed in 12 adult patients with a median age of 23\u2009years (range 18\u201331), including eight patients with intermittent testicular torsion, two with acute torsion and viable testes following detorsion and two with symptomatic retractile testis. Structured ultrasonographic follow\u2010up ranged from 15 to 21\u2009months (mean 19.2\u2009months). Scrotal ultrasonography demonstrated preserved testicular vascularity and stable dependent positioning of all testes. There were no cases of recurrent torsion, testicular atrophy, chronic scrotal pain or scrotal complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Single\u2010incision dartos pouch orchiopexy appears to be a safe, atraumatic and reproducible non\u2010parenchymal technique for adult testicular fixation and may represent a viable alternative to conventional trans\u2010tunical suture fixation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/bco2.70272","type":"journal-article","created":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T07:15:26Z","timestamp":1787037326000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Dartos pouch orchiopexy for adult testicular torsion and symptomatic retractile testis: Technique, early outcomes and critical appraisal of trans\u2010tunical suture fixation"],"prefix":"10.1002","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8201-9706","authenticated-orcid":false,"given":"Dinesh K.","family":"Agarwal","sequence":"first","affiliation":[{"name":"Department of Surgery, Western Health University of Melbourne  Melbourne Australia"},{"name":"Department of Urology Royal Melbourne Hospital  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,18]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.euf.2020.07.006"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)00060-1"},{"key":"e_1_2_10_4_1","first-page":"1337","article-title":"Recurrent testicular torsion: is retorsion of a fixed testis possible? A case report and literature review","volume":"44","author":"Zastrow C","year":"2005","journal-title":"Urologe a"},{"key":"e_1_2_10_5_1","article-title":"Suture technique and complications following paediatric testicular fixation","volume":"4","author":"Smith C","year":"2018","journal-title":"Int Arch Urol Complic"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)38449-5"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)38813-4"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)66918-0"},{"key":"e_1_2_10_9_1","first-page":"1817","volume-title":"Campbell\u2010Walsh\u2010Wein urology","author":"Campbell JA","year":"2026"},{"key":"e_1_2_10_10_1","first-page":"909","volume-title":"Hinman's atlas of urologic surgery","author":"Copp H","year":"2026"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2005.07.006"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0044-1790244"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.15818"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(77)80014-6"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)42526-2"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)35795-6"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2019.08.018"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2021.05.016"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0022-3468(98)90286-x"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.theriogenology.2015.06.016"},{"key":"e_1_2_10_21_1","volume-title":"EAU guidelines on Paediatric urology","author":"Radmayr C","year":"2022"}],"container-title":["BJUI Compass"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/bco2.70272","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/bco2.70272","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/bco2.70272","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T03:42:33Z","timestamp":1787715753000},"score":1,"resource":{"primary":{"URL":"https:\/\/bjui-journals.onlinelibrary.wiley.com\/doi\/10.1002\/bco2.70272"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":20,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1002\/bco2.70272"],"URL":"https:\/\/doi.org\/10.1002\/bco2.70272","archive":["Portico"],"relation":{},"ISSN":["2688-4526","2688-4526"],"issn-type":[{"value":"2688-4526","type":"print"},{"value":"2688-4526","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"2026-06-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-12","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-18","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70272"}}