{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T22:23:34Z","timestamp":1790288614446,"version":"4.1.0"},"reference-count":39,"publisher":"MDPI AG","issue":"21","license":[{"start":{"date-parts":[[2022,11,2]],"date-time":"2022-11-02T00:00:00Z","timestamp":1667347200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"the Department of Urology and Andrology"},{"name":"Paracelsus Medical University"},{"name":"Salzburg University Hospital, Austria"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: This study investigates endocrine and exocrine testicular function, oxidative stress (OS) in semen, and erectile function in patients who underwent surgery for suspected testicular torsion (TT). Methods: We evaluated 49 patients over a mean follow-up of 101 months: n = 25 patients treated with surgical exploration, n = 20 patients treated with detorsion, and n = 4 treated with orchiectomy. We performed semen analysis including Male infertility Oxidative System (MyOxSIS) analysis, physical examination, and evaluation of endocrine and erectile function. Results: OS, erectile function and spermiogram categories did not differ significantly between the groups. The interval from the onset of symptoms to surgery differed significantly between groups (p &lt; 0.001). Preservation of the testes was associated with a higher round cell count (p = 0.002) and follicle stimulating hormone (FSH, p = 0.003). OS showed a significant positive correlation with the spermiogram category (0.337; p = 0.022). A negative correlation was observed between OS and age (p = 0.033), sperm concentration (p &lt; 0.001) and total sperm count (p = 0.006). Conclusions: Endocrine, exocrine and erectile function are not significantly affected by TT in the long term. Orchiectomy results in elevated FSH and a lower round cell count compared to preservation of the testis.<\/jats:p>","DOI":"10.3390\/jcm11216507","type":"journal-article","created":{"date-parts":[[2022,11,3]],"date-time":"2022-11-03T03:53:07Z","timestamp":1667447587000},"page":"6507","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Long-Term Follow-Up after Testicular Torsion: Prospective Evaluation of Endocrine and Exocrine Testicular Function, Fertility, Oxidative Stress and Erectile Function"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0661-388X","authenticated-orcid":false,"given":"Peter","family":"T\u00f6rzs\u00f6k","sequence":"first","affiliation":[{"name":"Department of Urology and Andrology, Paracelsus Medical University, Salzburg University Hospital, 5020 Salzburg, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Steiner","sequence":"additional","affiliation":[{"name":"Department of Urology and Andrology, Paracelsus Medical University, Salzburg University Hospital, 5020 Salzburg, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8496-4506","authenticated-orcid":false,"given":"Maximilian","family":"Pallauf","sequence":"additional","affiliation":[{"name":"Department of Urology and Andrology, Paracelsus Medical University, Salzburg University Hospital, 5020 Salzburg, Austria"},{"name":"Department of Urology, The James Buchanan Brady Urological Institute, Johns Hopkins University School of Medicine, Baltimore, MD 21211, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Abenhardt","sequence":"additional","affiliation":[{"name":"Department of Urology and Andrology, Paracelsus Medical University, Salzburg University Hospital, 5020 Salzburg, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ljiljana","family":"Milinovic","sequence":"additional","affiliation":[{"name":"Department of Urology and Andrology, Paracelsus Medical University, Salzburg University Hospital, 5020 Salzburg, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bethseba","family":"Plank","sequence":"additional","affiliation":[{"name":"Department of Urology and Andrology, Paracelsus Medical University, Salzburg University Hospital, 5020 Salzburg, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alena","family":"R\u00fcckl","sequence":"additional","affiliation":[{"name":"Department of Pathology, Paracelsus Medical University, Salzburg University Hospital, 5020 Salzburg, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manuela","family":"Sieberer","sequence":"additional","affiliation":[{"name":"Department of Urology and Andrology, Paracelsus Medical University, Salzburg University Hospital, 5020 Salzburg, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5284-7276","authenticated-orcid":false,"given":"Lukas","family":"Lusuardi","sequence":"additional","affiliation":[{"name":"Department of Urology and Andrology, Paracelsus Medical University, Salzburg University Hospital, 5020 Salzburg, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3541-6973","authenticated-orcid":false,"given":"Susanne","family":"Deininger","sequence":"additional","affiliation":[{"name":"Department of Urology and Andrology, Paracelsus Medical University, Salzburg University Hospital, 5020 Salzburg, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,11,2]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1002\/bjs.1800630618","article-title":"Torsion of the testis and allied conditions","volume":"63","author":"Williamson","year":"1976","journal-title":"Br. 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