Abstract：
Testicular torsion is the most frequent cause of irreversible ischemia to the testis. Despite guidelines being available, challenges remain in both diagnosis and management of the disease.
This study aims to determine the adherence of urologists and residents in urology to the European Association of Urology (EAU) Pediatric Guideline on Testicular torsion.
Both Dutch and European urologists, and residents in urology filled in a survey on testicular torsion. Information on demographics, diagnostics, and treatment modalities was retrieved from the questionnaire based on the EAU Guideline on Paediatric Urology.
A total of 303 responders participated, of which 214 (71%) were from The Netherlands. Most (61%) responders treated three or more cases of testicular torsion in 2020. Ultrasound was used by 64%, followed by an attempt of manual detorsion by 38% (Summary Fig.). Importantly, 23% preferred not to perform emergency surgery after successful manual detorsion. A Winkelmann procedure was performed by 23%, without fixation of the test is using suture material. A large group of responders (30%) only fixed the contralateral testis by a proven testicular torsion.
A feasible adherence to the EAU Guideline on Paediatric Urology in treating testicular torsion was reported using this survey, although not all recommendations are implemented as proposed. The fact that outcomes of the different diagnostic and treatment modalities are lacking might be a limitation in interpreting the results of this survey.
Majority of the responders followed the EAU Guideline on Paediatric Urology in the diagnosis and treatment of testicular torsion. Ultrasound might contribute to diagnosing testicular torsion as long as this does not cause any delay for surgical exploration. Surprisingly, many urologists do not perform a surgical fixation of the testis after detorsion. Since a wide range of techniques and materials is used in case of surgical fixation, the guideline may provide in preferences for a unified policy among urologists.
This study aims to determine the adherence of urologists and residents in urology to the European Association of Urology (EAU) Pediatric Guideline on Testicular torsion.
Both Dutch and European urologists, and residents in urology filled in a survey on testicular torsion. Information on demographics, diagnostics, and treatment modalities was retrieved from the questionnaire based on the EAU Guideline on Paediatric Urology.
A total of 303 responders participated, of which 214 (71%) were from The Netherlands. Most (61%) responders treated three or more cases of testicular torsion in 2020. Ultrasound was used by 64%, followed by an attempt of manual detorsion by 38% (Summary Fig.). Importantly, 23% preferred not to perform emergency surgery after successful manual detorsion. A Winkelmann procedure was performed by 23%, without fixation of the test is using suture material. A large group of responders (30%) only fixed the contralateral testis by a proven testicular torsion.
A feasible adherence to the EAU Guideline on Paediatric Urology in treating testicular torsion was reported using this survey, although not all recommendations are implemented as proposed. The fact that outcomes of the different diagnostic and treatment modalities are lacking might be a limitation in interpreting the results of this survey.
Majority of the responders followed the EAU Guideline on Paediatric Urology in the diagnosis and treatment of testicular torsion. Ultrasound might contribute to diagnosing testicular torsion as long as this does not cause any delay for surgical exploration. Surprisingly, many urologists do not perform a surgical fixation of the testis after detorsion. Since a wide range of techniques and materials is used in case of surgical fixation, the guideline may provide in preferences for a unified policy among urologists.
摘要：
背景：睾丸扭转是睾丸不可逆缺血的最常见原因。尽管有指导方针，在该疾病的诊断和管理方面仍然存在挑战.
目的：本研究旨在确定泌尿科医师和泌尿科居民对欧洲泌尿外科协会(EAU)儿科睾丸扭转指南的依从性。
方法：荷兰和欧洲泌尿科医师，泌尿科的居民填写了睾丸扭转的调查。人口统计信息，诊断,根据EAU儿科泌尿外科指南,从问卷中检索治疗方式.
结果：共有303名响应者参与，其中214人（71%）来自荷兰。大多数（61％）的反应者在2020年治疗了三例或更多的睾丸扭转病例。64%的人使用了超声波，其次是38%的手动扭曲尝试(摘要图。).重要的是,23％的人首选在成功手动复位后不进行紧急手术。23％的人进行了Winkelmann手术，没有固定的测试是使用缝合材料。一大批响应者（30％）仅通过经证实的睾丸扭转固定对侧睾丸。
结论：使用这项调查报道了在治疗睾丸扭转方面对EAU指南的可行性遵守。尽管并非所有建议都按提议执行。缺乏不同诊断和治疗方式的结果这一事实可能是解释本调查结果的局限性。
结论：大多数反应者在睾丸扭转的诊断和治疗中遵循了儿科泌尿外科EAU指南。超声可能有助于诊断睾丸扭转，只要这不会导致手术探查的任何延迟。令人惊讶的是,许多泌尿科医师在扭转后不进行睾丸的手术固定。由于在手术固定的情况下使用了广泛的技术和材料，该指南可能为泌尿科医师提供统一政策的偏好.
目的：本研究旨在确定泌尿科医师和泌尿科居民对欧洲泌尿外科协会(EAU)儿科睾丸扭转指南的依从性。
方法：荷兰和欧洲泌尿科医师，泌尿科的居民填写了睾丸扭转的调查。人口统计信息，诊断,根据EAU儿科泌尿外科指南,从问卷中检索治疗方式.
结果：共有303名响应者参与，其中214人（71%）来自荷兰。大多数（61％）的反应者在2020年治疗了三例或更多的睾丸扭转病例。64%的人使用了超声波，其次是38%的手动扭曲尝试(摘要图。).重要的是,23％的人首选在成功手动复位后不进行紧急手术。23％的人进行了Winkelmann手术，没有固定的测试是使用缝合材料。一大批响应者（30％）仅通过经证实的睾丸扭转固定对侧睾丸。
结论：使用这项调查报道了在治疗睾丸扭转方面对EAU指南的可行性遵守。尽管并非所有建议都按提议执行。缺乏不同诊断和治疗方式的结果这一事实可能是解释本调查结果的局限性。
结论：大多数反应者在睾丸扭转的诊断和治疗中遵循了儿科泌尿外科EAU指南。超声可能有助于诊断睾丸扭转，只要这不会导致手术探查的任何延迟。令人惊讶的是,许多泌尿科医师在扭转后不进行睾丸的手术固定。由于在手术固定的情况下使用了广泛的技术和材料，该指南可能为泌尿科医师提供统一政策的偏好.
