MP37-13 MEAN PLATELET VOLUME IS THE MOST VALUABLE HEMATOLOGIC PARAMETER IN DIFFERENTIATING TESTICULAR TORSION FROM EPIDIDYMITIS WITHIN THE GOLDEN TIME

Abstract

You have accessJournal of UrologyCME1 May 2022MP37-13 MEAN PLATELET VOLUME IS THE MOST VALUABLE HEMATOLOGIC PARAMETER IN DIFFERENTIATING TESTICULAR TORSION FROM EPIDIDYMITIS WITHIN THE GOLDEN TIME Chung Ho Seok, Yu Seong Hyeon, Hwang Eu Chang, Kim Sun-Ouck, Oh Kyung Jin, Jung Seung Il, Kang Taek Won, Kwon Dongdeuk, and Park Kwangsung Chung Ho SeokChung Ho Seok More articles by this author , Yu Seong HyeonYu Seong Hyeon More articles by this author , Hwang Eu ChangHwang Eu Chang More articles by this author , Kim Sun-OuckKim Sun-Ouck More articles by this author , Oh Kyung JinOh Kyung Jin More articles by this author , Jung Seung IlJung Seung Il More articles by this author , Kang Taek WonKang Taek Won More articles by this author , Kwon DongdeukKwon Dongdeuk More articles by this author , and Park KwangsungPark Kwangsung More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002591.13AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: We aimed to assess the diagnostic value of hematologic parameters in the differential diagnosis of testicular torsion and epididymitis within and after the golden time. METHODS: We retrospectively reviewed the records of 250 patients aged <25 years who were diagnosed with epididymitis (n=119) or testicular torsion (n=131). The characteristics and hematologic parameters of patients in the two groups were analyzed. Receiver operating characteristic curves were used to assess the validity of hematologic parameters as differential diagnostic tools with respect to the golden time (defined as 6 h of symptom duration). Further, we evaluated the predictive factors associated with orchiectomy in patients with testicular torsion. RESULTS: The mean patient age was 14.4 years. Among patients with testicular torsion, 91.40% underwent detorsion and orchiopexy within the golden time, whereas only 27.40% of the affected testes were preserved after the golden time. Regardless of symptom duration, white blood cell count, neutrophil count, neutrophil ratio, mean platelet volume (MPV), and neutrophil-to-lymphocyte ratio could differentiate testicular torsion from epididymitis. Within the golden time, MPV seemed to be the most valuable diagnostic parameter (area under the curve 0.855, 95% confidence interval: 0.778–0.932). In a multivariate analysis, symptom duration (symptoms beyond the golden time) was associated with orchiectomy in patients with testicular torsion. CONCLUSIONS: MPV showed the greatest diagnostic value in the early stage of testicular torsion and epididymitis, suggesting its potential use for the differential diagnosis of these two conditions within the golden time. Source of Funding: None © 2022 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 207Issue Supplement 5May 2022Page: e613 Advertisement Copyright & Permissions© 2022 by American Urological Association Education and Research, Inc.MetricsAuthor Information Chung Ho Seok More articles by this author Yu Seong Hyeon More articles by this author Hwang Eu Chang More articles by this author Kim Sun-Ouck More articles by this author Oh Kyung Jin More articles by this author Jung Seung Il More articles by this author Kang Taek Won More articles by this author Kwon Dongdeuk More articles by this author Park Kwangsung More articles by this author Expand All Advertisement PDF DownloadLoading ...