Emergency scrotal exploration in children: Following a change in mindset in the UK

Gopal M, Thattaruparambil V, McLaran P, Weisser S, Auth J (2023)

Publication Type: Journal article

Publication year: 2023

Journal

DOI: 10.1016/j.jpurol.2023.03.039

Abstract

A survey of 200 emergency scrotal explorations done over four paediatric surgical centres in the UK revealed that the incidence of finding testicular torsion (TT) was 24% and the preoperative utilisation of Doppler ultrasound (DUS) was 10% [1]. We changed our practice to include better preoperative utilisation of a clinical risk score (TWIST) and DUS. This led to a significant increase in the incidence of finding TT from 18% to 53%. Obtaining a DUS did not lead to an increase in our orchidectomy rate. Adopting this change is possible in an NHS setting and it has significant clinical and economic benefits.

Authors with CRIS profile

Janina Auth Department of Medicine 3 – Rheumatology and Immunology

Additional Organisation(s)

FAU Profilzentrum Licht.Materie.Quantentechnologien (FAU LMQ)

Involved external institutions

Universitätsklinikum Göttingen

Germany (DE) Great North Children's Hospital

United Kingdom (GB)

How to cite

APA:

Gopal, M., Thattaruparambil, V., McLaran, P., Weisser, S., & Auth, J. (2023). Emergency scrotal exploration in children: Following a change in mindset in the UK. Journal of Pediatric Urology. https://dx.doi.org/10.1016/j.jpurol.2023.03.039

MLA:

Gopal, Milan, et al. "Emergency scrotal exploration in children: Following a change in mindset in the UK." Journal of Pediatric Urology (2023).

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