The value of hematological inflammatory parameters in the differential diagnosis of testicular torsion and epididymo-orchitis in children

Serkan Arslan; Mustafa Azizoglu; Tahsin Onat Kamci; Erol Basuguy; Bahattin Aydogdu; Mehmet Hanifi Okur; Müsemma Karabel; Abdurrahman Onen

doi:10.30714/j-ebr.2023.185

Authors

Serkan Arslan Department of Pediatric Surgery, Dicle University, Faculty of Medicine, Diyarbakir, Türkiye http://orcid.org/0000-0002-5879-4478
Mustafa Azizoglu Department of Pediatric Surgery, Dicle University, Faculty of Medicine, Diyarbakir, Türkiye http://orcid.org/0000-0002-8266-5203
Tahsin Onat Kamci Department of Pediatric Surgery, Dicle University, Faculty of Medicine, Diyarbakir, Türkiye http://orcid.org/0000-0002-2121-4003
Erol Basuguy Department of Pediatric Surgery, Dicle University, Faculty of Medicine, Diyarbakir, Türkiye http://orcid.org/0000-0002-9217-423X
Bahattin Aydogdu Department of Pediatric Surgery, Dicle University, Faculty of Medicine, Diyarbakir, Türkiye http://orcid.org/0000-0003-2858-3984
Mehmet Hanifi Okur Department of Pediatric Surgery, Dicle University, Faculty of Medicine, Diyarbakir, Türkiye http://orcid.org/0000-0002-6720-1515
Müsemma Karabel Department of Pediatrics. Dicle University, Faculty of Medicine, Diyarbakir, Türkiye http://orcid.org/0000-0003-4326-6864
Abdurrahman Onen Department of Pediatric Surgery and Urology, Dicle University, Faculty of Medicine, Diyarbakir, Türkiye http://orcid.org/0000-0003-1671-4094

DOI:

https://doi.org/10.30714/j-ebr.2023.185

Keywords:

Testicular torsion, epididymo-orchitis, children, neutrophil lymphocyte ratio (NLR), platelet lymphocyte ratio (PLR)

Abstract

Aim: To investigate the value of neutrophil lymphocyte ratio (NLR) and platelet lymphocyte ratio (PLR) in differentiating acute scrotal conditions.

Methods: A total of 60 patients, including 30 epididymo-orchitis and 30 testicular torsions, diagnosed and treated in our clinic between January 1, 2010 and December 2022, were included in the study. The patients were divided into two groups; group 1 (testicular torsion = TT) and Group 2 (epididymo-orchitis = EO). The age, diagnosis, and hemogram parameters of the patients were evaluated.

Results: Both Group 1 and Group 2 consisted of 30 patients each. The mean ages of group 1 and 2 were 13.7, and 11.2 years, respectively (p>0.05). When compared to the group 2, NLR was higher in the group 2 (p<0.05). There was no statistically significant difference between the groups in terms of PLR value (p >0.05). ROC analysis was performed for NLR. According to the ROC analysis; at a cut-off value of 2.92, the sensitivity was 51% and the specificity was 87%, AUC (0.79; CI: 0.694 - 0.896).

Conclusion: TT and EO can be diagnosed using inflammatory markers such as NLR. However, additional prospective studies are needed

The value of hematological inflammatory parameters in the differential diagnosis of testicular torsion and epididymo-orchitis in children

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