caa a22 4500 475754441 CHVBK 20180406123534.0 cr unu---uuuuu 170329e20000101xx s 000 0 eng 10.1007/s002470050012 doi (NATIONALLICENCE)springer-10.1007/s002470050012 Preoperative manual detorsion of the spermatic cord with Doppler ultrasound monitoring in patients with intravaginal acute testicular torsion [Elektronische Daten] [L. Garel, J. Dubois, G. Azzie, D. Filiatrault, A. Grignon, S. Yazbeck] Objective. To assess the effectiveness of preoperative manual detorsion in acute testicular torsion.¶Materials and methods. Between June 1998 and March 1999, seven patients presenting with testicular torsion underwent manual manipulation under US monitoring in order to restore the flow to the testis prior to surgery (orchidopexy). All detorsions were lateral in direction. The success of the manoeuvre was assessed both clinically and sonographically and confirmed at surgery.¶Results. Six manoeuvres were successful in restoring flow to the testis. The failed attempt in the seventh patient was due to failure to manipulate beyond an initial 1 1/2 rotations (540 °).¶Conclusions. Preoperative detorsion is the fastest way to relieve testicular ischaemia. However, manual detorsion of the spermatic cord is not a substitute for surgical exploration and bilateral orchidopexy is still necessary. Springer-Verlag Berlin Heidelberg, 2000 Garel L. Department of Medical Imaging, Hôpital Sainte-Justine, 3175 Côte-Sainte-Catherine, Montréal, Québec, Canada H3T 1C5, CA aut Dubois J. Department of Medical Imaging, Hôpital Sainte-Justine, 3175 Côte-Sainte-Catherine, Montréal, Québec, Canada H3T 1C5, CA aut Azzie G. Department of Surgery, Hôpital Sainte-Justine, Montréal, Québec, Canada, CA aut Filiatrault D. Department of Medical Imaging, Hôpital Sainte-Justine, 3175 Côte-Sainte-Catherine, Montréal, Québec, Canada H3T 1C5, CA aut Grignon A. Department of Medical Imaging, Hôpital Sainte-Justine, 3175 Côte-Sainte-Catherine, Montréal, Québec, Canada H3T 1C5, CA aut Yazbeck S. Department of Surgery, Hôpital Sainte-Justine, Montréal, Québec, Canada, CA aut https://doi.org/10.1007/s002470050012 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s002470050012 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Garel L. Department of Medical Imaging, Hôpital Sainte-Justine, 3175 Côte-Sainte-Catherine, Montréal, Québec, Canada H3T 1C5, CA aut NATIONALLICENCE 700 1- Dubois J. Department of Medical Imaging, Hôpital Sainte-Justine, 3175 Côte-Sainte-Catherine, Montréal, Québec, Canada H3T 1C5, CA aut NATIONALLICENCE 700 1- Azzie G. Department of Surgery, Hôpital Sainte-Justine, Montréal, Québec, Canada, CA aut NATIONALLICENCE 700 1- Filiatrault D. Department of Medical Imaging, Hôpital Sainte-Justine, 3175 Côte-Sainte-Catherine, Montréal, Québec, Canada H3T 1C5, CA aut NATIONALLICENCE 700 1- Grignon A. Department of Medical Imaging, Hôpital Sainte-Justine, 3175 Côte-Sainte-Catherine, Montréal, Québec, Canada H3T 1C5, CA aut NATIONALLICENCE 700 1- Yazbeck S. Department of Surgery, Hôpital Sainte-Justine, Montréal, Québec, Canada, CA aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer