MP04-02 CONTRALATERAL ORCHIOPEXY AT THE TIME OF URGENT SCROTAL EXPLORATION: IS IT SAFE? A PROPENSITY SCORE MATCHED ANALYSIS FROM THE TORSAFUF COHORT

Abstract

You have accessJournal of UrologyTrauma/Reconstruction/Diversion: External Genitalia Reconstruction and Urotrauma (including transgender surgery) I (MP04)1 Sep 2021MP04-02 CONTRALATERAL ORCHIOPEXY AT THE TIME OF URGENT SCROTAL EXPLORATION: IS IT SAFE? A PROPENSITY SCORE MATCHED ANALYSIS FROM THE TORSAFUF COHORT Igor Duquesne, Ugo Pinar, François Lannes, Florian Bardet, Kevin Kaulanjan, Clément Michielis, Emilien Seizilles de Mazancourt, Ines Dominique, Maxime Vallée, Bastien Gondran-Tellier, Xavier Matillon, Lucas Freton, Zine Eddine Khene, and Benjamin Pradere Igor DuquesneIgor Duquesne More articles by this author , Ugo PinarUgo Pinar More articles by this author , François LannesFrançois Lannes More articles by this author , Florian BardetFlorian Bardet More articles by this author , Kevin KaulanjanKevin Kaulanjan More articles by this author , Clément MichielisClément Michielis More articles by this author , Emilien Seizilles de MazancourtEmilien Seizilles de Mazancourt More articles by this author , Ines DominiqueInes Dominique More articles by this author , Maxime ValléeMaxime Vallée More articles by this author , Bastien Gondran-TellierBastien Gondran-Tellier More articles by this author , Xavier MatillonXavier Matillon More articles by this author , Lucas FretonLucas Freton More articles by this author , Zine Eddine KheneZine Eddine Khene More articles by this author , and Benjamin PradereBenjamin Pradere More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000001971.02AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: The safety of immediate contralateral orchiopexy (ICLO) at the time of a scrotal exploration for testicular torsion (TT) remains questionable and lacks high-quality evidence. The objective of our study was to evaluate the safety of ICLO at the time of scrotal exploration for TT suspicion. METHODS: We performed a multicentric retrospective study conducted between 2005 and 2019 at 14 academic French hospitals. Patient data were retrieved from the TORSAFUF cohort project. Each patient who underwent surgical exploration for TT suspicion was included. Patients with a history of surgical testis exploration were excluded. We assessed the impact of immediate contralateral orchiopexy during scrotal exploration. The primary study outcome was the safety of ICLO compared to homolateral scrotal exploration alone. The primary outcome of interest was the complication rate within 90 days after surgery. To account for potential selection biases arising from non-random allocation of patients to different groups, we performed a propensity score matched analysis. The two groups were then paired 1:1 on these propensity scores using nearest-neighbour matching within a propensity-score-based calliper. Uni- and multivariable logistic regression analyses were performed to evaluate predictors of complications. RESULTS: Overall, 2775 patients were included of whom 1554 (56%) underwent ICLO. After propensity score matching and multivariable analysis, ICLO was associated with a higher complication rate (odds ratio [OR], 1.51; 95% CI 1.1 to 2.1; P=.01), especially a higher rate of hematoma (OR, 2.9; 95% CI 1.3 Table 2: Univariable and multivariable logistic regression analysis for predictors of overall complications. CONCLUSIONS: Prophylactic contralateral testicular fixation was significantly associated with an increase in the postoperative complication rate, especially an increase in hematoma and delayed wound healing. Therefore, an immediate contralateral orchiopexy should not be performed systematically and can be safely omitted. Source of Funding: none © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e67-e68 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Igor Duquesne More articles by this author Ugo Pinar More articles by this author François Lannes More articles by this author Florian Bardet More articles by this author Kevin Kaulanjan More articles by this author Clément Michielis More articles by this author Emilien Seizilles de Mazancourt More articles by this author Ines Dominique More articles by this author Maxime Vallée More articles by this author Bastien Gondran-Tellier More articles by this author Xavier Matillon More articles by this author Lucas Freton More articles by this author Zine Eddine Khene More articles by this author Benjamin Pradere More articles by this author Expand All Advertisement Loading ...