{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T16:12:35Z","timestamp":1753891955897,"version":"3.41.2"},"reference-count":22,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,2,20]],"date-time":"2024-02-20T00:00:00Z","timestamp":1708387200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>The purpose of this study was to compare the clinical characteristics and outcomes of children with cryptorchidism testicular torsion between the younger age group and the older age group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We collected the clinical data of children with cryptorchidism complicated with testicular torsion in our hospital from January 1, 2013 to January 1, 2023. The patients were divided into two groups: the younger age group (1month\u223c4 years old, <jats:italic>n<\/jats:italic>\u2009=\u20097) and the older age group (4\u223c18 years old, <jats:italic>n<\/jats:italic>\u2009=\u20097). The differences of clinical manifestations and surgical results between the two groups were compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 14 patients with unilateral cryptorchidism testicular torsion were included in this study, including 9 on the left side and 5 on the right side. The main clinical manifestations were pain \/swelling of groin. The rate of crying in the younger age group was significantly higher than those in the older age group [(5,71.4%) vs. (0,0.0%), <jats:italic>P<\/jats:italic>\u2009&amp;lt;\u20090.05]. The median duration of symptoms of the younger group was less than the older group [42(7,96) h vs. 70(24, 96) h, <jats:italic>P<\/jats:italic>\u2009&amp;gt;\u20090.05]. The ipsilateral testicular salvage rate in the younger age group was 14.3% (1\/7), which was lower than the older age group 57.1% [(4\/7), <jats:italic>P<\/jats:italic>\u2009&amp;gt;\u20090.05]. The degree of testicular torsion in younger age group was more severe than the older age group [720(360, 1,080)\u00b0 vs. 360(270, 360)\u00b0, <jats:italic>P<\/jats:italic>\u2009&amp;gt;\u20090.05].<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The overall salvage rate of cryptorchidism testicular torsion is low. Although the duration of symptoms in the older age group was longer, the salvage rate of the older age group seemed to be higher than that in the younger age group. In addition, physical and imaging examination of the reproductive system should be carried out in time to identify the children with cryptorchidism testicular torsion in the early stage.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fped.2024.1296222","type":"journal-article","created":{"date-parts":[[2024,2,20]],"date-time":"2024-02-20T05:58:05Z","timestamp":1708408685000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Comparison of clinical features and outcomes between two age groups of cryptorchidism testicular torsion in children: a retrospective study in single center"],"prefix":"10.3389","volume":"12","author":[{"given":"Shengxiong","family":"Wang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haohui","family":"Tang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jingmin","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ying","family":"Qiu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xianghui","family":"Xie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2024,2,20]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1038\/s41572-018-0029-0","article-title":"Testicular cancer","volume":"4","author":"Cheng","year":"2018","journal-title":"Nat Rev Dis Primers"},{"year":"","author":"Leslie","key":"B2"},{"key":"B3","doi-asserted-by":"publisher","first-page":"2009","DOI":"10.1016\/j.juro.2011.07.024","article-title":"Pediatric testicular torsion epidemiology using a national database: incidence, risk of orchiectomy and possible measures toward improving the quality of care","volume":"186","author":"Zhao","year":"2011","journal-title":"J Urology"},{"key":"B4","doi-asserted-by":"publisher","first-page":"e12666","DOI":"10.1002\/emp2.12666","article-title":"A case of torsion of the undescended testes","volume":"3","author":"Akinsola","year":"2022","journal-title":"Jacep Open"},{"key":"B5","doi-asserted-by":"publisher","first-page":"821","DOI":"10.1097\/PEC.0000000000001287","article-title":"A systematic review of testicle survival time after a torsion event","volume":"35","author":"Mellick","year":"2019","journal-title":"Pediatr Emerg Care"},{"key":"B6","first-page":"8594","article-title":"Management of acute scrotum in children: a 25-year single center experience on 558 pediatric patients","volume":"23","author":"Pogoreli\u0107","year":"2016","journal-title":"Can J Urol"},{"key":"B7","doi-asserted-by":"publisher","first-page":"468","DOI":"10.4103\/aja.aja_10_21","article-title":"Cryptorchid testicular torsion in children: characteristics and treatment outcomes","volume":"23","author":"Zhong","year":"2021","journal-title":"Asian J Androl"},{"key":"B8","doi-asserted-by":"publisher","first-page":"113","DOI":"10.1159\/000493766","article-title":"Children with cryptorchidism complicated by testicular torsion: a case series","volume":"102","author":"Deng","year":"2019","journal-title":"Urol Int"},{"key":"B9","doi-asserted-by":"publisher","first-page":"243.e1","DOI":"10.1016\/j.jpurol.2016.05.023","article-title":"Testicular atrophy following paediatric primary orchidopexy: a prospective study","volume":"12","author":"Durell","year":"2016","journal-title":"J Pediatr Urol"},{"key":"B10","doi-asserted-by":"publisher","first-page":"793","DOI":"10.1016\/j.jpurol.2012.10.013","article-title":"Testicular torsion in the inguinal canal in children","volume":"9","author":"Pogoreli\u0107","year":"2013","journal-title":"J Pediatr Urol"},{"key":"B11","doi-asserted-by":"publisher","first-page":"660","DOI":"10.1016\/j.jpedsurg.2019.06.018","article-title":"Torsion of an undescended testis\u2014a surgical pediatric emergency","volume":"55","author":"Kargl","year":"2020","journal-title":"J Pediatr Surg"},{"key":"B12","doi-asserted-by":"publisher","first-page":"386","DOI":"10.4103\/aja202184","article-title":"Diagnosis, treatment, outcome, and reasons for delayed treatment of cryptorchidism with torsion in children: a 16-year retrospective study in a large pediatric medical center","volume":"24","author":"Yang","year":"2022","journal-title":"Asian J Androl"},{"key":"B13","doi-asserted-by":"publisher","first-page":"968997","DOI":"10.3389\/fped.2022.968997","article-title":"Diagnosis and treatment of cryptorchid testicular torsion in children: a 12-year retrospective study","volume":"10","author":"Chen","year":"2022","journal-title":"Front Pediatr"},{"key":"B14","doi-asserted-by":"publisher","first-page":"393","DOI":"10.5489\/cuaj.952","article-title":"Les torsions sur testicules cryptorchides","volume":"4","author":"Gharbi","year":"2010","journal-title":"Cuaj-Can Urol Assoc"},{"key":"B15","doi-asserted-by":"publisher","first-page":"191.e1","DOI":"10.1016\/j.jpurol.2020.12.004","article-title":"A multicenter review of undescended testis torsion: a plea for early management","volume":"17","author":"Dupond-Ath\u00e9nor","year":"2021","journal-title":"J Pediatr Urol"},{"key":"B16","doi-asserted-by":"publisher","first-page":"111","DOI":"10.1016\/j.ajur.2016.05.007","article-title":"Testicular torsion in undescended testis: a persistent challenge","volume":"4","author":"Naouar","year":"2017","journal-title":"Asian J Urol"},{"key":"B17","doi-asserted-by":"publisher","first-page":"722","DOI":"10.1007\/s00247-003-0984-8","article-title":"An infant with testicular torsion in the inguinal canal","volume":"33","author":"Candocia","year":"2003","journal-title":"Pediatr Radiol"},{"key":"B18","doi-asserted-by":"publisher","first-page":"567","DOI":"10.1016\/0090-4295(78)90474-0","article-title":"Torsion of undescended testis","volume":"12","author":"Mowad","year":"1978","journal-title":"Urology"},{"key":"B19","doi-asserted-by":"publisher","first-page":"2287","DOI":"10.1016\/S0022-5347(06)00329-6","article-title":"Torsion of the cryptorchid testis\u2013can it be salvaged?","volume":"175","author":"Zilberman","year":"2006","journal-title":"J Urology"},{"key":"B20","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.morpho.2020.06.006","article-title":"Anatomical risk factors for spermatic cord torsion and their involvement in the choice of orchidopexy technique","volume":"105","author":"Beaud","year":"2021","journal-title":"Morphologie"},{"key":"B21","doi-asserted-by":"publisher","first-page":"47","DOI":"10.1016\/j.amsu.2018.08.011","article-title":"Voiceless disability: a worth case of bilateral infrainguinal testicular torsion in a patient with cerebropalsy","volume":"33","author":"Guida","year":"2018","journal-title":"Ann Med Surg"},{"key":"B22","doi-asserted-by":"publisher","first-page":"402","DOI":"10.1016\/j.jpurol.2018.08.015","article-title":"Acquired undescended testis and possibly associated testicular torsion in children with cerebral palsy or neuromuscular disease","volume":"14","author":"Ito","year":"2018","journal-title":"J Pediatr Urol"}],"container-title":["Frontiers in Pediatrics"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2024.1296222\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,20]],"date-time":"2024-02-20T05:58:07Z","timestamp":1708408687000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2024.1296222\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,20]]},"references-count":22,"alternative-id":["10.3389\/fped.2024.1296222"],"URL":"https:\/\/doi.org\/10.3389\/fped.2024.1296222","relation":{},"ISSN":["2296-2360"],"issn-type":[{"type":"electronic","value":"2296-2360"}],"subject":[],"published":{"date-parts":[[2024,2,20]]},"article-number":"1296222"}}