The Role of Gray-Scale Ultrasound in the Diagnosis of Postnatal Testicular Torsion in Children

Author:

Olkhova E. B.1ORCID,Topolnik M. V.2ORCID,Rudin A. Yu.2ORCID,Runenko V. I.2ORCID,Melnik I. V.3ORCID

Affiliation:

1. Moscow State University of Medicine and Dentistry named after A. I. Evdokimov, Department of Radiology, Ministry of Healthcare of Russia; Moscow Clinical Municipal Children Hospital St. Vladimir of the Department of Healthcare of Moscow

2. Moscow Clinical Municipal Children Hospital St. Vladimir of the Department of Healthcare of Moscow

3. Clinical hospital «Lapino» LLC HAVEN Company group Mother and Child

Abstract

Testicular torsion is a severe variant of postnatal gonad pathology in children. The speed of development of irreversible ischemic disorders determines not only the medical, but also the social significance of the problem and determines the need for accurate and rapid diagnosis and prompt provision of adequate care to the patient. The only objective method for diagnosing testicular torsion in children is ultrasound. At the same time, the characteristics of the child’s body: the small size of the object of study, low rates of intratesticular blood flow and restless behavior during the study sharply reduce the diagnostic value of the Doppler study or make it technically impossible. Thus, seroshkal ultrasound is the first stage of diagnosis of this complex emergency pathology, based on the results of which it is possible to diagnose testicular torsion with great accuracy. The publication summarizes our own experience of 110 echographic observations of postnatal testicular torsion in children older than 2 months, all cases were verified intraoperatively. A quantitative method for estimating the deformity of a twisted testicle is proposed and its statistical reliability is proved. The options presented for gray-scale changes in the structure of damaged gonads and determined their prognostic significance. The publication contains a review of the literature and is extensively illustrated.

Publisher

Central Research Institute of Radiation Diagnostics

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