{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T01:36:35Z","timestamp":1793410595499,"version":"4.5.0"},"reference-count":18,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>\n                      This study aimed to review and compare the characteristics and treatment outcomes of cryptorchid testicular torsion in pre- and postpubertal children. We reviewed the clinical data of 22 patients with testicular torsion complicated by cryptorchidism who were treated between January 2010 and December 2019. Patients were categorized into prepubertal (1 month to 9 years;\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 12) and postpubertal groups (10\u201316 years;\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 10). The age at presentation, clinical presentations, physical examination, and operation outcomes were assessed. The common clinical presentations in both groups were inguinal pain and a tender inguinal mass. Patients in the prepubertal group were significantly more likely to present with restlessness (33.3%) than those in the postpubertal group (0%;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.044). After detorsion, testicular blood flow recovered during surgery in 25.0% of the prepubertal and 80.0% of the postpubertal patients (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.010). Orchiectomy was required in 50.0% of the prepubertal and 20.0% of the postpubertal patients (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.145). Of the 22 patients with follow-up data, the rates of testicular salvage were significantly different, at 16.7% in the prepubertal patients and 60.0% in the postpubertal patients (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.035). Cryptorchid testicular torsion has various manifestations. Although an empty hemiscrotum and a painful groin mass were common in both groups, restlessness was more prevalent in the prepubertal patients during early testicular torsion onset than that in the postpubertal patients. Notably, the testicular salvage rate was significantly lower in the prepubertal patients than that in the postpubertal patients.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/aja.aja_10_21","type":"journal-article","created":{"date-parts":[[2021,3,12]],"date-time":"2021-03-12T07:29:52Z","timestamp":1615534192000},"page":"468-471","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":13,"title":["Cryptorchid testicular torsion in children"],"prefix":"10.4103","volume":"23","author":[{"given":"Hai-Jun","family":"Zhong","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liang-Feng","family":"Tang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yun-Li","family":"Bi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-5-20240829","doi-asserted-by":"crossref","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 Urol"},{"key":"R2-5-20240829","first-page":"10026","article-title":"An unusual presentation of testicular torsion in children: a single - centre retrospective study","volume":"26","author":"Pogorelic","year":"2019","journal-title":"Can J Urol"},{"key":"R3-5-20240829","doi-asserted-by":"crossref","first-page":"528","DOI":"10.2164\/jandrol.106.002097","article-title":"Late hormonal levels, semen parameters, and presence of antisperm antibodies in patients treated for testicular torsion","volume":"28","author":"Arap","year":"2007","journal-title":"J Androl"},{"key":"R5-5-20240829","doi-asserted-by":"crossref","first-page":"667","DOI":"10.5114\/aoms.2016.59940","article-title":"Undescended testis - current trends and guidelines: a review of the literature","volume":"12","author":"Niedzielski","year":"2016","journal-title":"Arch Med Sci"},{"key":"R6-5-20240829","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1111\/j.1365-2605.2007.00770.x","article-title":"The frequency of undescended testis from birth to adulthood: a review","volume":"31","author":"Sijstermans","year":"2008","journal-title":"Int J Androl"},{"key":"R7-5-20240829","doi-asserted-by":"crossref","first-page":"2287","DOI":"10.1016\/S0022-5347(06)00329-6","article-title":"Torsion of the cryptorchid testis - can it be salvaged?","volume":"175","author":"Zilberman","year":"2006","journal-title":"J Urol"},{"key":"R8-5-20240829","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 J Surg"},{"key":"R9-5-20240829","doi-asserted-by":"crossref","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":"R10-5-20240829","doi-asserted-by":"crossref","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":"R11-5-20240829","doi-asserted-by":"crossref","first-page":"660","DOI":"10.1016\/j.jpedsurg.2019.06.018","article-title":"Torsion of an undescended testis - a surgical pediatric emergency","volume":"55","author":"Kargl","year":"2020","journal-title":"J Pediatr Surg"},{"key":"R12-5-20240829","doi-asserted-by":"crossref","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":"R13-5-20240829","doi-asserted-by":"crossref","first-page":"277","DOI":"10.3109\/00365599409181278","article-title":"Spermatic cord torsion in adults","volume":"28","author":"Kattan","year":"1994","journal-title":"Scand J Urol Nephrol"},{"key":"R14-5-20240829","doi-asserted-by":"crossref","first-page":"108","DOI":"10.4274\/MIRT.017978","article-title":"Testicular torsion in the left inguinal canal in a patient with inguinal hernia: a difficult case to diagnose","volume":"20","author":"Erdo\u011fan","year":"2011","journal-title":"Mol Imaging Radionucl Ther"},{"key":"R15-5-20240829","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1016\/S0022-5347(17)55456-7","article-title":"Testicular torsion: late results with special regard to fertility and endocrine function","volume":"124","author":"Bartsch","year":"1980","journal-title":"J Urol"},{"key":"R16-5-20240829","doi-asserted-by":"crossref","first-page":"e282","DOI":"10.1111\/j.1651-2227.2012.02644.x","article-title":"Testicular torsion: a 15-year single-centre clinical and histological analysis","volume":"101","author":"Saxena","year":"2012","journal-title":"Acta Paediatr"},{"key":"R17-5-20240829","doi-asserted-by":"crossref","first-page":"1161","DOI":"10.1016\/j.jpurol.2013.04.018","article-title":"Do not forget to include testicular torsion in differential diagnosis of lower acute abdominal pain in young males","volume":"9","author":"Pogoreli\u0107","year":"2013","journal-title":"J Pediatr Urol"},{"key":"R18-5-20240829","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1016\/0022-3468(94)90090-6","article-title":"Late postoperative results in males treated for testicular torsion during childhood","volume":"29","author":"Tryfonas","year":"1994","journal-title":"J Pediatr Surg"},{"key":"R19-5-20240829","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1136\/archdischild-2012-302373","article-title":"Undescended testis and torsion: is the risk understated?","volume":"98","author":"Singal","year":"2013","journal-title":"Arch Dis Child"}],"container-title":["Asian Journal of Andrology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/aja.aja_10_21","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:39:56Z","timestamp":1786649996000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/aja.aja_10_21"}},"subtitle":["characteristics and treatment outcomes"],"short-title":[],"issued":{"date-parts":[[2021,9]]},"references-count":18,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.4103\/aja.aja_10_21","relation":{},"ISSN":["1008-682X"],"issn-type":[{"value":"1008-682X","type":"print"}],"subject":[],"published":{"date-parts":[[2021,9]]}}}