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Mean platelet volume is the most valuable hematologic parameter in differentiating testicular torsion from epididymitis within the golden time.
Lee, Ho Yeon; Lim, Do Gyeong; Chung, Ho Seok; Kim, Jun Seok; Yu, Seong Hyeon; Kim, Myung Soo; Hwang, Eu Chang; Oh, Kyung Jin; Kim, Sun Ouck; Jung, Seung Il; Kang, Taek Won; Kwon, Dong Deuk; Park, Kwangsung.
Afiliación
  • Lee HY; Department of Urology, Chonnam National University Medical School, Gwangju, Republic of Korea.
  • Lim DG; Department of Urology, Chonnam National University Medical School, Gwangju, Republic of Korea.
  • Chung HS; Department of Urology, Chonnam National University Medical School, Gwangju, Republic of Korea.
  • Kim JS; Department of Urology, Kwangju Christian Hospital, Gwangju, Republic of Korea.
  • Yu SH; Department of Urology, Chonnam National University Medical School, Gwangju, Republic of Korea.
  • Kim MS; Department of Urology, Ewha Womans University Mokdong Hospital, Seoul, Republic of Korea.
  • Hwang EC; Department of Urology, Chonnam National University Medical School, Gwangju, Republic of Korea.
  • Oh KJ; Department of Urology, Chonnam National University Medical School, Gwangju, Republic of Korea.
  • Kim SO; Department of Urology, Chonnam National University Medical School, Gwangju, Republic of Korea.
  • Jung SI; Department of Urology, Chonnam National University Medical School, Gwangju, Republic of Korea.
  • Kang TW; Department of Urology, Chonnam National University Medical School, Gwangju, Republic of Korea.
  • Kwon DD; Department of Urology, Chonnam National University Medical School, Gwangju, Republic of Korea.
  • Park K; Department of Urology, Chonnam National University Medical School, Gwangju, Republic of Korea.
Transl Androl Urol ; 11(9): 1282-1291, 2022 Sep.
Article en En | MEDLINE | ID: mdl-36217394
Background: We aimed to assess the diagnostic value of hematologic parameters in the differential diagnosis of testicular torsion and epididymitis within and after the golden time. Methods: We retrospectively reviewed the records of 250 patients aged <25 years who were diagnosed with epididymitis (n=119) or testicular torsion (n=131). The characteristics and hematologic parameters of patients in the two groups were analyzed. Receiver operating characteristic (ROC) curves were used to assess the validity of hematologic parameters as differential diagnostic tools with respect to the golden time (defined as 6 h of symptom duration). Further, we evaluated the predictive factors associated with orchiectomy in patients with testicular torsion. Results: The mean patient age was 14.4 years. Among patients with testicular torsion, 91.40% (53 of 58) underwent detorsion and orchiopexy within the golden time, whereas only 27.40% (20 of 73) of the affected testes were preserved after the golden time. Within the golden time, mean platelet volume (MPV) seemed to be the most valuable hematologic parameter [area under the curve (AUC) 0.855, 95% confidence interval (CI): 0.778-0.932]. In a multivariate analysis, symptom duration (symptoms beyond the golden time) was associated with orchiectomy in patients with testicular torsion. Conclusions: MPV showed the greatest hematologic value in the early stage of testicular torsion and epididymitis, suggesting its potential use for the differential diagnosis of these two conditions within the golden time.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Prognostic_studies Idioma: En Revista: Transl Androl Urol Año: 2022 Tipo del documento: Article Pais de publicación: China
Texto completo
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XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Prognostic_studies Idioma: En Revista: Transl Androl Urol Año: 2022 Tipo del documento: Article Pais de publicación: China