Andrology-Open Access
Open Access

Department of Urology, Hillel Yaffe Medical Center, Hadera, Israel

Publications

• Mini Review   
  Effect of Seasonality on Occurrence of Testicular Torsion and the Resulting Endocrine and Exocrine Testicular Function
  Author(s): Ronen Rub and Muhammad Majdoub*
  
  Testicular torsion is characterized by acute onset of testicular pain and swelling, due to twisting of the spermatic cord and its contents. This serious urological condition requires prompt presentation by the patient, followed by prompt diagnosis and urgent surgical exploration within 4-8 hours, to avoid irreversible ischemic damage. The main factors determining testicular salvage are duration since symptom onset and degree of torsion. Whether surgical orchiectomy or orchiopexy was performed to preserve the affected testis, reports on postoperative testicular endocrine and exocrine function, indicate possible negative impact on fertility. Several studies following testicular torsions, even in those treated with orchiopexy, have shown evidence of significantly impaired exocrine testicular function (spermatogenesis), as measured by semen parameter changes (e.g., decreased sperm motilit.. View More»
  

  Abstract PDF