The Experts below are selected from a list of 7524 Experts worldwide ranked by ideXlab platform
Craig A. Peters - One of the best experts on this subject based on the ideXlab platform.
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Testicular Torsion and risk factors for orchiectomy.
Archives of pediatrics & adolescent medicine, 2005Co-Authors: Jonathan M. Mansbach, Peter W. Forbes, Craig A. PetersAbstract:Objective To determine risk factors for Testicular loss due to Testicular Torsion. Design and participants Medical records of patients aged 1 to 25 years with a principal diagnosis of Testicular Torsion were extracted from the 1998 Nationwide Inpatient Sample. Population-based rates of Testicular Torsion and orchiectomy were determined. Logistic regression was used to create a predictive model for orchiectomy. For comparison, medical records of patients aged 1 to 25 years with a principal diagnosis of Testicular neoplasm were extracted. Results The sample comprised 436 participants. The estimated incidence of Testicular Torsion for males aged 1 to 25 years in the United States is 4.5 cases per 100,000 male subjects per year, and the estimated incidence of benign and malignant Testicular tumors is 1.2 cases per 100,000. Of the estimated 2248 males diagnosed nationally in 1998 with Testicular Torsion, 762 (34%) had an orchiectomy. In the final multivariate model estimating the probability of orchiectomy, only age was significant. Conclusions For males aged 1 to 25 years, Testicular Torsion is more common than Testicular tumors, and increasing age is the sole identifiable risk factor for orchiectomy. We suggest that health care professionals educate prepubertal male patients about Testicular Torsion and the necessity of seeking timely care to reduce the risk of orchiectomy and of possible subsequent reduced fertility.
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Testicular Torsion and risk factors for orchiectomy
Journal of Adolescent Health, 2004Co-Authors: Jonathan M. Mansbach, Peter W. Forbes, Craig A. PetersAbstract:Design and Participants: Medical records of patientsaged1to25yearswithaprincipaldiagnosisofTesticular Torsion were extracted from the 1998 NationwideInpatientSample.Population-basedratesofTesticular Torsion and orchiectomy were determined. Logistic regression was used to create a predictive model for orchiectomy.Forcomparison,medicalrecordsofpatientsaged 1 to 25 years with a principal diagnosis of Testicular neoplasm were extracted. Results: The sample comprised 436 participants. The estimated incidence of Testicular Torsion for males aged 1 to 25 years in the United States is 4.5 cases per 100000 male subjects per year, and the estimated incidence of benign and malignant Testicular tumors is 1.2 cases per 100000. Of the estimated 2248 males diagnosed nationally in 1998 with Testicular Torsion, 762 (34%) had an orchiectomy. In the final multivariate model estimating the probability of orchiectomy, only age was significant. Conclusions: For males aged 1 to 25 years, Testicular Torsion is more common than Testicular tumors, and increasing age is the sole identifiable risk factor for orchiectomy. We suggest that health care professionals educate prepubertal male patients about Testicular Torsion and the necessity of seeking timely care to reduce the risk of orchiectomy and of possible subsequent reduced fertility.
Jonathan M. Mansbach - One of the best experts on this subject based on the ideXlab platform.
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Testicular Torsion and risk factors for orchiectomy.
Archives of pediatrics & adolescent medicine, 2005Co-Authors: Jonathan M. Mansbach, Peter W. Forbes, Craig A. PetersAbstract:Objective To determine risk factors for Testicular loss due to Testicular Torsion. Design and participants Medical records of patients aged 1 to 25 years with a principal diagnosis of Testicular Torsion were extracted from the 1998 Nationwide Inpatient Sample. Population-based rates of Testicular Torsion and orchiectomy were determined. Logistic regression was used to create a predictive model for orchiectomy. For comparison, medical records of patients aged 1 to 25 years with a principal diagnosis of Testicular neoplasm were extracted. Results The sample comprised 436 participants. The estimated incidence of Testicular Torsion for males aged 1 to 25 years in the United States is 4.5 cases per 100,000 male subjects per year, and the estimated incidence of benign and malignant Testicular tumors is 1.2 cases per 100,000. Of the estimated 2248 males diagnosed nationally in 1998 with Testicular Torsion, 762 (34%) had an orchiectomy. In the final multivariate model estimating the probability of orchiectomy, only age was significant. Conclusions For males aged 1 to 25 years, Testicular Torsion is more common than Testicular tumors, and increasing age is the sole identifiable risk factor for orchiectomy. We suggest that health care professionals educate prepubertal male patients about Testicular Torsion and the necessity of seeking timely care to reduce the risk of orchiectomy and of possible subsequent reduced fertility.
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Testicular Torsion and risk factors for orchiectomy
Journal of Adolescent Health, 2004Co-Authors: Jonathan M. Mansbach, Peter W. Forbes, Craig A. PetersAbstract:Design and Participants: Medical records of patientsaged1to25yearswithaprincipaldiagnosisofTesticular Torsion were extracted from the 1998 NationwideInpatientSample.Population-basedratesofTesticular Torsion and orchiectomy were determined. Logistic regression was used to create a predictive model for orchiectomy.Forcomparison,medicalrecordsofpatientsaged 1 to 25 years with a principal diagnosis of Testicular neoplasm were extracted. Results: The sample comprised 436 participants. The estimated incidence of Testicular Torsion for males aged 1 to 25 years in the United States is 4.5 cases per 100000 male subjects per year, and the estimated incidence of benign and malignant Testicular tumors is 1.2 cases per 100000. Of the estimated 2248 males diagnosed nationally in 1998 with Testicular Torsion, 762 (34%) had an orchiectomy. In the final multivariate model estimating the probability of orchiectomy, only age was significant. Conclusions: For males aged 1 to 25 years, Testicular Torsion is more common than Testicular tumors, and increasing age is the sole identifiable risk factor for orchiectomy. We suggest that health care professionals educate prepubertal male patients about Testicular Torsion and the necessity of seeking timely care to reduce the risk of orchiectomy and of possible subsequent reduced fertility.
Kevin Moissinac - One of the best experts on this subject based on the ideXlab platform.
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trauma induced Testicular Torsion a reminder for the unwary
Emergency Medicine Journal, 2000Co-Authors: Yeap Joo Seng, Kevin MoissinacAbstract:Trauma induced Testicular Torsion is a well recognised entity, the incidence being 4–8% in most studies reporting on Testicular Torsion. The signs and symptoms of Testicular Torsion may easily be mistakenly attributed to preceeding Testicular trauma if there was such an event. A patient is described with trauma induced Testicular Torsion who presented on three occasions before a decision was made to perform scrotal exploration. Unfortunately, an orchidectomy was the outcome. The message that trauma can and not infrequently does precipitate Torsion, needs to be reiterated. Awareness of the entity and constant vigilance is required of clinicians to avoid a delay in definitive treatment.
Lynn Teague - One of the best experts on this subject based on the ideXlab platform.
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Testicular Torsion.
American family physician, 2006Co-Authors: Erika Ringdahl, Lynn TeagueAbstract:Each year, Testicular Torsion affects one in 4,000 males younger than 25 years. Early diagnosis and definitive management are the keys to avoid Testicular loss. All prepubertal and young adult males with acute scrotal pain should be considered to have Testicular Torsion until proven otherwise. The finding of an ipsilateral absent cremasteric reflex is the most accurate sign of Testicular Torsion. Torsion of the appendix testis is more common in children than Testicular Torsion and may be diagnosed by the "blue dot sign" (i.e., tender nodule with blue discoloration on the upper pole of the testis). Epididymitis/orchitis is much less common in the prepubertal male, and the diagnosis should be made with caution in this age group. Doppler ultrasonography may be needed for definitive diagnosis; radionuclide scintigraphy is an alternative that may be more accurate but should be ordered only if it can be performed without delay. Diagnosis of Testicular Torsion is based on the finding of decreased or absent blood flow on the ipsilateral side. Treatment involves rapid restoration of blood flow to the affected testis. The optimal time frame is less than six hours after the onset of symptoms. Manual deTorsion by external rotation of the testis can be successful, but restoration of blood flow must be confirmed following the maneuver. Surgical exploration provides definitive treatment for the affected testis by orchiopexy and allows for prophylactic orchiopexy of the contralateral testis. Surgical treatment of Torsion of the appendix testis is not mandatory but hastens recovery.
Peter W. Forbes - One of the best experts on this subject based on the ideXlab platform.
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Testicular Torsion and risk factors for orchiectomy.
Archives of pediatrics & adolescent medicine, 2005Co-Authors: Jonathan M. Mansbach, Peter W. Forbes, Craig A. PetersAbstract:Objective To determine risk factors for Testicular loss due to Testicular Torsion. Design and participants Medical records of patients aged 1 to 25 years with a principal diagnosis of Testicular Torsion were extracted from the 1998 Nationwide Inpatient Sample. Population-based rates of Testicular Torsion and orchiectomy were determined. Logistic regression was used to create a predictive model for orchiectomy. For comparison, medical records of patients aged 1 to 25 years with a principal diagnosis of Testicular neoplasm were extracted. Results The sample comprised 436 participants. The estimated incidence of Testicular Torsion for males aged 1 to 25 years in the United States is 4.5 cases per 100,000 male subjects per year, and the estimated incidence of benign and malignant Testicular tumors is 1.2 cases per 100,000. Of the estimated 2248 males diagnosed nationally in 1998 with Testicular Torsion, 762 (34%) had an orchiectomy. In the final multivariate model estimating the probability of orchiectomy, only age was significant. Conclusions For males aged 1 to 25 years, Testicular Torsion is more common than Testicular tumors, and increasing age is the sole identifiable risk factor for orchiectomy. We suggest that health care professionals educate prepubertal male patients about Testicular Torsion and the necessity of seeking timely care to reduce the risk of orchiectomy and of possible subsequent reduced fertility.
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Testicular Torsion and risk factors for orchiectomy
Journal of Adolescent Health, 2004Co-Authors: Jonathan M. Mansbach, Peter W. Forbes, Craig A. PetersAbstract:Design and Participants: Medical records of patientsaged1to25yearswithaprincipaldiagnosisofTesticular Torsion were extracted from the 1998 NationwideInpatientSample.Population-basedratesofTesticular Torsion and orchiectomy were determined. Logistic regression was used to create a predictive model for orchiectomy.Forcomparison,medicalrecordsofpatientsaged 1 to 25 years with a principal diagnosis of Testicular neoplasm were extracted. Results: The sample comprised 436 participants. The estimated incidence of Testicular Torsion for males aged 1 to 25 years in the United States is 4.5 cases per 100000 male subjects per year, and the estimated incidence of benign and malignant Testicular tumors is 1.2 cases per 100000. Of the estimated 2248 males diagnosed nationally in 1998 with Testicular Torsion, 762 (34%) had an orchiectomy. In the final multivariate model estimating the probability of orchiectomy, only age was significant. Conclusions: For males aged 1 to 25 years, Testicular Torsion is more common than Testicular tumors, and increasing age is the sole identifiable risk factor for orchiectomy. We suggest that health care professionals educate prepubertal male patients about Testicular Torsion and the necessity of seeking timely care to reduce the risk of orchiectomy and of possible subsequent reduced fertility.