You have accessJournal of UrologyInfertility: Epidemiology & Evaluation1 Apr 2016MP91-14 PREGNANCY RATES IN COUPLES WITH A MALE HISTORY OF UNILATERAL TESTICULAR TORSION Shilo Rosenberg, Ilan Gielchinsky, Efrat Suraqui, Guy Hidas, Ezekiel H Landau, Alexander Simon, Vladimir Yutkin, Mordechai Duvdevani, Ofer N Gofrit, and Dov Pode Shilo RosenbergShilo Rosenberg More articles by this author , Ilan GielchinskyIlan Gielchinsky More articles by this author , Efrat SuraquiEfrat Suraqui More articles by this author , Guy HidasGuy Hidas More articles by this author , Ezekiel H LandauEzekiel H Landau More articles by this author , Alexander SimonAlexander Simon More articles by this author , Vladimir YutkinVladimir Yutkin More articles by this author , Mordechai DuvdevaniMordechai Duvdevani More articles by this author , Ofer N GofritOfer N Gofrit More articles by this author , and Dov PodeDov Pode More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.02.2601AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES The effect of unilateral testicular torsion (UTT) on pregnancy rate is unknown. Research on UTT has focused on animal models and human indices of fertility such as semen analysis, endocrine parameters (LH and FSH) and histology of the testes during the acute event. Results of these studies are often conflicting and difficult to interpret. In this study we focused on pregnancy rate which is a more accurate index of fertility status. This study was performed in the Jerusalem metropolitan area where the demographics are characterized by conception at a young age and increased reproduction. The average age at marriage, for males in this area, is 24 years. METHODS We performed an IRB approved retrospective observational study. 273 patients that presented to our emergency room with UTT, between 1994 and 2014 were reviewed. The inclusion criteria for this study included being in a relationship with intention to conceive for at least a year and being older than 25 years with a normal contralateral testis. Patients with primary infertility, unwilling to participate/ unreachable, history of undescended testis, and/or varicocele were excluded. Parameters analyzed were pregnancy rate and interval to pregnancy. All patients and their partners were contacted by phone and interviewed according to a standardized questionnaire. Pregnancy rates for the orchiopexy (Opx) or the orchiectomy (Oec) groups were compared to each other and to the accepted pregnancy rate cited in the literature. RESULTS 63 patients met the inclusion criteria (figure 1). There were 41 and 22 patients in the Opx and Oec groups respectively. Average age at the time of torsion in the Opx and the Oec groups was 20.26 and 20.13 years respectively (p>0.93). Pregnancy rate for the Opx and Oec group was 90.2% and 90.9% respectively (p>0.34). The accepted pregnancy rate in the general population is 82%-92%. Interval to pregnancy for the Opx and Oec groups was 6.38 +/- 6.40 and 8.57+/- 8.36 months respectively (p>0.26). CONCLUSIONS Despite several studies suggesting decreased fertility potential in patients with a history of UTT, in this study pregnancy rate and interval to pregnancy, in couples where the male had a history of UTT, is within the accepted range as the general population. © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e1158 Advertisement Copyright & Permissions© 2016MetricsAuthor Information Shilo Rosenberg More articles by this author Ilan Gielchinsky More articles by this author Efrat Suraqui More articles by this author Guy Hidas More articles by this author Ezekiel H Landau More articles by this author Alexander Simon More articles by this author Vladimir Yutkin More articles by this author Mordechai Duvdevani More articles by this author Ofer N Gofrit More articles by this author Dov Pode More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...