{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T00:13:38Z","timestamp":1773274418689,"version":"3.50.1"},"reference-count":29,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2012,3,24]],"date-time":"2012-03-24T00:00:00Z","timestamp":1332547200000},"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":["Acta Paediatrica"],"published-print":{"date-parts":[[2012,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Aim:\u2002<\/jats:bold> This study reviewed the demographic, epidemiological and clinical factors of boys seen at a single centre who underwent surgical exploration for testicular torsion.<\/jats:p><jats:p><jats:bold>Methods:\u2002<\/jats:bold> Retrospective single\u2010centre review of boys with testicular torsion between 1996 and 2011 was made.<\/jats:p><jats:p><jats:bold>Results:\u2002<\/jats:bold> Testicular torsion (right n\u2003=\u200343, left n\u2003=\u200360, bilateral n\u2003=\u20031) was identified in 104 boys between 0 and 18\u2003years. Ten newborns presented with 11 intrauterine torsions. Nine torsions presented in undescended inguinal testes (one intrauterine). In 94 boys with descended testes, presentation included pain (76%), scrotal swelling (65%) and abdominal symptoms (22%). Ultrasonography was performed in 85 patients with false\u2010negative results in 4 (4.7%). Orchiectomy was performed during initial exploration in 41, with significantly higher rates of orchiectomies in patients with late (&gt;6\u2003h) versus patients with early referrals (&lt;6\u2003h) (56% vs. 9.1%). Histological evaluation was carried out in 68 testes, with 43 resected testes demonstrating haemorrhagic necrosis. In 25 biopsied testes, histology revealed acute parenchymal bleeding (n\u2003=\u200314), onset of parenchymal infarction (n\u2003=\u20038), orchitis (n\u2003=\u20031) and normal tissue (n\u2003=\u20032). Eighty\u2010two patients were followed up with pathological findings in four patients: testicular atrophies requiring orchiectomy (n\u2003=\u20032), testicular autolysis (n\u2003=\u20031) and small testicular vein thrombosis (n\u2003=\u20031).<\/jats:p><jats:p><jats:bold>Conclusion:\u2002<\/jats:bold> Chances of testicular salvage after torsion are higher if patients present early. 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