{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T22:26:45Z","timestamp":1791239205691,"version":"4.1.0"},"reference-count":11,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2017,2,27]],"date-time":"2017-02-27T00:00:00Z","timestamp":1488153600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2019,4]]},"abstract":"\n Background<\/jats:title>\n \n Previous reviews report relatively low rates of post\u2010operative complications for acute scrotal exploration. The aim of this study was to evaluate the re\u2010presentation to hospital in boys with previous acute scrotal pathology, reviewing contralateral symptoms, post\u2010operative complications, testicular torsion following fixation and failure of conservative management of testicular appendage (\n TA<\/jats:styled-content>\n ) torsion.\n <\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n All boys under 16\u2009years presenting to our unit with an acute scrotum from January 2008 to December 2012 (5\u2010year period) were identified. A retrospective review of clinical records was performed.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n A total of 683 boys presented over this 5\u2010year period, with an overall re\u2010presentation rate of 10%. Seventeen (25%) re\u2010presentations were metachronous. Post\u2010operative complication rate was 2.2%. Testicular torsion rate following orchiopexy was 0.3% (1\/292). Thirty\u2010three percent of those managed conservatively for\n TA<\/jats:styled-content>\n torsion returned with ongoing pain; 80% underwent scrotal exploration on return. Eight boys returned following excision of a torted\n TA<\/jats:styled-content>\n with contralateral torted\n TA<\/jats:styled-content>\n confirmed, accounting for 2.6% (8\/308) of boys with a torted\n TA<\/jats:styled-content>\n at first presentation. This gives a number\u2010needed\u2010to\u2010treat of 39 for bilateral scrotal exploration and prophylactic excision of contralateral non\u2010torted\n TA<\/jats:styled-content>\n , to prevent one boy from returning to hospital with a metachronous presentation.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n Further prolonged follow\u2010up is needed to adequately assess recurrence rates of testicular torsion following orchiopexy to validate routine orchiopexy. Post\u2010operative complication rates equal that of the return rate for a contralateral torted\n TA<\/jats:styled-content>\n ; this needs to be considered in proceeding to bilateral scrotal exploration on finding a torted\n TA<\/jats:styled-content>\n at initial presentation.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/ans.13905","type":"journal-article","created":{"date-parts":[[2017,2,27]],"date-time":"2017-02-27T02:42:48Z","timestamp":1488163368000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Re\u2010presentations and recurrent events following initial management of the acute paediatric scrotum: a 5\u2010year review"],"prefix":"10.1111","volume":"89","author":[{"given":"Shareena","family":"Lala","sequence":"first","affiliation":[{"name":"Department of Paediatric Surgery and Urology Starship Children's Health Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neil","family":"Price","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery and Urology Starship Children's Health Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vipul","family":"Upadhyay","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery and Urology Starship Children's Health Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,2,27]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1445-2197.2003.02612.x"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/145749690709600112"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1100\/tsw.2009.37"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1445-2197.2002.02355.x"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-006-1681-0"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.3109\/00365599.2012.752403"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2006.05871.x"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)00060-1"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2012.02644.x"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2009.07.1298"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1445-2197.2002.02295.x"}],"container-title":["ANZ Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fans.13905","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.13905","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/ans.13905","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ans.13905","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,10]],"date-time":"2023-09-10T19:09:52Z","timestamp":1694372992000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ans.13905"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,2,27]]},"references-count":11,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2019,4]]}},"alternative-id":["10.1111\/ans.13905"],"URL":"https:\/\/doi.org\/10.1111\/ans.13905","archive":["Portico"],"relation":{},"ISSN":["1445-1433","1445-2197"],"issn-type":[{"value":"1445-1433","type":"print"},{"value":"1445-2197","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,2,27]]},"assertion":[{"value":"2016-09-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2016-12-21","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-02-27","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}