A multicenter retrospective histopathological analysis of testicular torsion-related orchiectomy specimens
10.13263/j.cnki.nja.2025.10.007
- VernacularTitle:睾丸扭转患者行睾丸切除术后病理标本的多中心回顾性分析
- Author:
Guoxiong LUO
1
;
Qinjun SU
;
Qiang ZHAO
;
Donghong LIU
;
Yajun XU
;
Linling LIU
;
Bin ZHANG
;
Yindong KANG
;
Dehui CHANG
Author Information
1. 解放军联勤保障部队第九四○医院泌尿外科,兰州 730010
- Publication Type:Journal Article
- Keywords:
testicular torsion;
Mikuz grading system;
Arda's grading;
orchiectomy
- From:
National Journal of Andrology
2025;31(10):904-908
- CountryChina
- Language:Chinese
-
Abstract:
Objective This study aims to explore the correlation between the grade of testicular tissue damage and clinical features which is used to evaluate the viability of testicular tissue after the orchidopexy for testicular torsion.Methods We conducted a retrospective,multicenter analysis of pathological specimens obtained from patients who under-went unilateral orchiectomy due to testicular torsion.Tissue viability was reassessed by the Mikuz grading scale.The corre-lations among tissue viability,duration of torsion symptoms,the angle of torsion,preoperative Doppler ultrasound image and intraoperative testicular resuscitation methods were analyzed.Results Eighty-five pathological specimens were en-rolled from 4 medical centers.The age range was 18 years(IQR 14-33),with a median torsion angle of 480°(IQR 180°-1080°).The interval from the torsion onset to surgical intervention was 18 hours(IQR 9-84).In the subgroup analysis of different torsion durations,the distribution of Grade I injuries was as follows.The subgroup within 12 hours ac-counted for 37.5％.The subgroup between 12 to 24 hours accounted for 14.28％.And the subgroup between 24 to 48 hours ac-counted for 6.45％.The subgroup exceeding 48 hours only accounted for 3.13％.Four patients received orchiectomy due to pre-operative ultrasound image indicating necrosis,correlating with Mikuz grade 3 tissue damage.The decision was made based on the failure of color recovery of affected testis in 57 cases,revealing 12.28％with grade 1 and 35.89％with grade Ⅱ damage.Twenty-four cases were identified as an Arda score of 3,with 4.16％showing grade 1 and 20.83％showing grade Ⅱ Mikuz damage.The method of Arda's grading could be used to determine the vitality of testicular tissue more accurately compared to the post-resusci-tation color observation method(P=0.032).Conclusion Pathological reassessment provides a precise determination of tis-sue viability in the affected testis.In some instances,the testicular tissue damage can be found potentially reversible.
