Diagnosis of testicular torsion using near infrared spectroscopy: A novel diagnostic approach

Authors

  • Babak Shadgan University of British Columbia
  • Mehdi Fareghi Tehran University of Medical Sciences
  • Lynn Stothers University of British Columbia
  • Andrew Macnab University of British Columbia
  • A.M. Kajbafzadeh Tehran University of Medical Sciences

DOI:

https://doi.org/10.5489/cuaj.1672

Keywords:

scrotum, spectroscopy, near-infrared, spermatic cord torsion, ultrasonography, Doppler

Abstract

We report a case of testicular torsion in a 14-month old boy. Testicular ischemia was suspected based on history and clinical presentations. The patient was referred following 24 hours of left acute scrotum. Erythema, swelling and tenderness associated with nausea and emesis were present, but the patient was not febrile. We used a spatially resolved near-infrared spectroscopy (SR-NIRS) device to study and compare the tissue saturation index (TSI) on both right and left spermatic cords. The TSI was significantly reduced in the left side. Both testicles were surgically explored and the left testis was found non-viable with a 1080-degree intravaginal torsion. NIRS monitoring of spermatic cord oxygen saturation appears feasible as a non-invasive bedside optical method to identify testicular torsion.

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Author Biographies

Babak Shadgan, University of British Columbia

Postdoctoral Fellow

Department of Urologic Sciences

 

Mehdi Fareghi, Tehran University of Medical Sciences

Pediatric Urology Fellow

Pediatric Urology Research Center,

Lynn Stothers, University of British Columbia

Professor

Department of Urologic Sciences

Andrew Macnab, University of British Columbia

Professor

Department of Pediatrics

A.M. Kajbafzadeh, Tehran University of Medical Sciences

Professor & Director

Pediatric Urology Research Center,

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Published

2014-04-14

How to Cite

Shadgan, B., Fareghi, M., Stothers, L., Macnab, A., & Kajbafzadeh, A. (2014). Diagnosis of testicular torsion using near infrared spectroscopy: A novel diagnostic approach. Canadian Urological Association Journal, 8(3-4), e249–52. https://doi.org/10.5489/cuaj.1672

Issue

Vol. 8 No. 3-4 (2014): CUAJ April

Section

Case Report

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