Testicular torsion: A retrospective investigation of predictors of surgical outcomes and of remaining controversies

Wait time to surgery positively correlates with orchiectomy. Early identification and intervention is vital to testicular salvage. As the degree of torsion increases, the blood supply to the affected testis decreases and the time required to inflict testicular vascular damage decreases. Our results showed the presence of the bell clapper deformity moderated the relationship between temperature and TT: Those without the deformity had torsions on colder days than did those with the deformity. A comprehensive multi-centered study could help draw further conclusions regarding temperature correlation and the bell clapper deformity.Table. Differences in clinical characteristics by surgical outcome.VariableOrchiopexyOrchiectomypTriage to provider, minutes27.55 ± 30.4731.12 ± 28.270.47Triage to surgery, minutes216.63 ± 110.23334.29 ± 250.51<0.0001Driving distance, miles26.37 ± 43.5639.83 ± 169.370.54Driving time, minutes31.42 ± 38.9341.78 ± 141.750.57Degree of torsion, degrees458.29 ± 179.51505.10 ± 173.130.15Bell clapper<0.01 Yes34 (33%)9 (14%) No68 (67%)54 (86%)Temperature, Fahrenheit64.05 ± 15.6261.54 ± 18.730.36