PURPOSE - The effect of testicular torsion on pregnancy rate is unknown. In this study we focused on pregnancy rate which is the ultimate index of fertility status.
MATERIALS AND METHODS - 273 patients that presented to our emergency room with testicular torsion, between 1994 and 2014 were reviewed.
The inclusion criteria for this study included being in a relationship with intention to conceive for at least one 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. Patients were contacted by phone and interviewed according to a standardized questionnaire. Pregnancy rates for the orchiopexy or the orchiectomy groups were compared to each other and to the accepted pregnancy rate cited in the literature.
RESULTS - 63 patients met the inclusion criteria. There were 41 and 22 patients in the orchiopexy and orchiectomy groups respectively. Pregnancy rate for the orchiopexy and orchiectomy group was 90.2% and 90.9% respectively (p=1.0). The accepted pregnancy rate in the general population is 82%-92%. Interval to pregnancy for the orchiopexy and orchiectomy groups was 6.6 +/- 5.50 and 7.2+/- 5.4 months respectively (p=0.27).
CONCLUSIONS - Despite several studies suggesting decreased fertility potential in patients with a history of testicular torsion, in this study pregnancy rate and interval to pregnancy, in couples where the male had a history of testicular torsion, is within the accepted range as the general population.
The Journal of urology. 2016 Apr 23 [Epub ahead of print]
I Gielchinsky, E Suraqui, G Hidas, M Zuaiter, E H Landau, A Simon, M Duvdevani, O N Gofrit, D Pode, S Rosenberg
Department of Urology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel., The Faculty of medicine, Hadassah-Hebrew University Medical Center, Jerusalem, Israel., Department of Urology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel., Department of Urology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel., Department of Urology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel., Department of Obstetrics and Gynecology, In Vitro Fertilization Unit, Hadassah-Hebrew University Medical Center, Jerusalem, Israel., Department of Urology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel., Department of Urology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel., Department of Urology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel., Department of Urology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.