The Role of Doppler Ultrasound in the Diagnosis of Postnatal Testicular Torsion in Children

Author:

Olkhova E. B.1ORCID,Borisov S. Yu.2ORCID,Topolnik M. V.2ORCID,Tagirova A. Yu.2ORCID,Zhumasitov S. V.2ORCID,Mukaseeva T. V.2ORCID

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, Moscow Healthcare Department

2. Moscow Clinical Municipal Children Hospital St. Vladimir, Moscow Healthcare Department

Abstract

The diagnostic significance of the color Doppler study of testicular blood flow in testicular torsion has been studied for about 40 years, however, the prognostic value of the results obtained is ambiguous, as are the actual imaging capabilities of the technique. Our own experience of 110 observations of testicular torsion in children older than the neonatal period allows us to draw statistically reliable conclusions. Made on equipment premium-class research made it possible to evaluate how visualization intratesticular vascular pattern, and whirpool-sign and submit the primitive model of the actual inversion, explaining the impossibility of rendering whirpool-sign with the greatest tight inversion. The dynamics of testicular blood flow was studied immediately after successful and unsuccessful manual detorsion and in the long term after operative detorsion and orchopexy. The publication contains a brief analysis of the literature and is extensively illustrated.

Publisher

Central Research Institute of Radiation Diagnostics

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