{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T10:27:23Z","timestamp":1787740043203,"version":"build-2784847793"},"reference-count":24,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T00:00:00Z","timestamp":1773100800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J Surg Pathol"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:p>\n                    Testis torsion is a scrotal emergency in which parenchymal damage cannot be accurately predicted. This situation leads to atrophy in the follow-up of patients who underwent orchidopexy, and potentially reversible injury can be detected in the orchiectomy series. This study aimed to find answers to questions about the accurate detection of testes with potentially reversible injury. The testes of patients who underwent orchiectomy due to testis torsion under the age of 35 (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u200954) were re-examined. Considering the vascular anatomy of the testis, necrotic changes in the epididymal, anti-epididymal, and central regions were scored from grade 1 to 3. The necrosis score was obtained by multiplying the degree and percentage of necrotic areas. Potentially reversible injury (Grade 1) was detected in 10 (18%) testes, and 3 of them had partial necrotic changes. Grade 1 injury could be detected after a symptom duration of up to 168\u2005h, while grade 3 could be observed after as short as 6\u2005h. The median symptom duration of Grade 3 necrosis was higher than that of Grade 1 and Grade 2, but this difference was not statistically significant (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009=\u2009.066). Testis pain, swelling, and abdominal pain were most commonly seen in high-grade injuries (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009=\u2009.047). The highest necrosis scores were observed in the central region of the testes, followed by the epididymal and anti-epididymal side (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    \u2009=\u2009.035). Clarification of the injury pattern of the twisted testes will allow a more accurate estimation of parenchymal damage and salvage ability.\n                  <\/jats:p>","DOI":"10.1177\/10668969251412915","type":"journal-article","created":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T11:59:53Z","timestamp":1773230393000},"page":"1114-1122","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Histopathological Findings of Testis Torsion According to Parenchymal Regions: New Recommendations for Damage Detection and Future Directions"],"prefix":"10.1177","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8216-1753","authenticated-orcid":false,"given":"Fatih","family":"Yilmaz","sequence":"first","affiliation":[{"name":"Mardin Training and Research Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5300-8071","authenticated-orcid":false,"given":"Suleyman","family":"Sagir","sequence":"additional","affiliation":[{"name":"Mardin Artuklu University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,10]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41443-020-0331-8"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/andr.13368"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1159\/000525264"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1159\/000534454"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0b013e31823f5ed9"},{"issue":"3","key":"e_1_3_3_7_2","first-page":"134","article-title":"Testicular torsion: simple grading for histological evaluation of tissue damage","volume":"3","author":"Mikuz G","year":"1985","unstructured":"Mikuz G. Testicular torsion: simple grading for histological evaluation of tissue damage. Appl Pathol. 1985;3(3):134-139.","journal-title":"Appl Pathol."},{"issue":"5","key":"e_1_3_3_8_2","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1055\/s-0037-1603091","article-title":"Incidence of low-grade testicular injury in orchidectomy specimens post-testicular torsion","volume":"28","author":"Aworanti OM","year":"2018","unstructured":"Aworanti OM, Hajduk P, Devaney D, Quinn F, Awadalla S. Incidence of low-grade testicular injury in orchidectomy specimens post-testicular torsion. European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery [et al.] = Zeitschrift fur Kinderchirurgie. 2018;28(5):433-438.","journal-title":"European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery [et al.] = Zeitschrift fur Kinderchirurgie"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.2012.02644.x"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0015-0282(16)54850-X"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.4111\/icu.20220122"},{"key":"e_1_3_3_12_2","unstructured":"Paulsen F Waschke J. Sobotta Atlas of Human Anatomy Vol. 2 15th ed. English: Internal Organs: Elsevier Health Sciences Germany; 2013."},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0000000000001287"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1159\/000506236"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.4103\/UA.UA_142_20"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-410x.2001.00021.x"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-022-05118-x"},{"key":"e_1_3_3_18_2","unstructured":"Guidelines E. Edn. presented at the EAU Annual Congress Milan2023."},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2020.11.023"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2017.04.018"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10439-012-0707-0"},{"key":"e_1_3_3_22_2","volume-title":"Biomechanics","author":"Fung YC","year":"1996","unstructured":"Fung YC. Biomechanics. 2 ed. Springer; 1996.","edition":"2"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00247-018-4093-0"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2008.03.031"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2012.02.017"}],"container-title":["International Journal of Surgical Pathology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10668969251412915","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10668969251412915","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10668969251412915","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T10:14:14Z","timestamp":1787739254000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10668969251412915"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,10]]},"references-count":24,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,8]]}},"alternative-id":["10.1177\/10668969251412915"],"URL":"https:\/\/doi.org\/10.1177\/10668969251412915","relation":{},"ISSN":["1066-8969","1940-2465"],"issn-type":[{"value":"1066-8969","type":"print"},{"value":"1940-2465","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,10]]}}}