The value of hematological inflammatory parameters in the differential diagnosis of testicular torsion and epididymorchitis

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dc.authorwosidArikan, Gurkan/AAO-7476-2021
dc.contributor.authorArikan, Mehmet G.
dc.contributor.authorAkgül, Murat
dc.contributor.authorAkdeniz, Esra
dc.contributor.authorIskan, Gülce
dc.contributor.authorArda, Ersan
dc.date.accessioned2022-05-11T14:37:01Z
dc.date.available2022-05-11T14:37:01Z
dc.date.issued2021
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Üroloji Ana Bilim Dalı
dc.description.abstractObjective: Aim of this study is to investigate the effectiveness of mean platelet volume (MPV), neutrophil to lymphocyte ratio (NLR) and platelet to lymphocyte ratio (PLR) values, that can easily be obtained with complete blood count (CBC), in the diagnostic differentiation of testicular torsion and epididymorchitis. Method: Data of patients, who admitted to the urology or emergency departments, diagnosed with acute scrotum, between 20082017, were reviewed and retrospectively extracted. Basic characteristics (age,etc.) of patients and blood test results were retrieved. Inflammatory markers such as MPV, NLR and PLR were compared between groups. Result: After determining inclusion/exclusion criteria, a total of 111 patients were divided as testicular torsion, epididymorchitis and control group, including 37 patients each. Mean age of groups were 19.27 +/- 6.93, 26.27 +/- 6.23 and 23.24 +/- 8.49 years, respectively. Statistical significance was found in epididymorchitis and testicular torsion groups compared to the control group according to NLR (P<0.01). PLR showed a statistically significant relationship only with the epididymorchitis group and control group (P=0.46). However, according to MPV values, no statistically significance was found between the groups. Additionally, ROC analyse was performed to evaluate predictive cut-off values of NLR and PLR for the diagnostic differentiation of both groups. Conclusion: Inflammatory markers, obtained from routinely performed low-cost CBC, might be used as adjuvant parameters to differentiate acute scrotal pathologies like testicular torsion and epididymorchitis.
dc.identifier.endpage100
dc.identifier.issn2330-1910
dc.identifier.issue1en_US
dc.identifier.pmid33816698
dc.identifier.startpage96
dc.identifier.urihttps://hdl.handle.net/20.500.11776/8528
dc.identifier.volume9
dc.identifier.wosWOS:000627038200009
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.institutionauthorAkgül, Murat
dc.language.isoen
dc.publisherE-Century Publishing Corp
dc.relation.ispartofAmerican Journal of Clinical and Experimental Urology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectEpididymorchitis
dc.subjectlymphocyte
dc.subjectneutrophil
dc.subjectplatelet
dc.subjecttesticular torsion
dc.subjectMean Platelet Volume
dc.subjectLymphocyte Ratio
dc.subjectPrognostic Value
dc.subjectNeutrophil
dc.subjectMarker
dc.titleThe value of hematological inflammatory parameters in the differential diagnosis of testicular torsion and epididymorchitis
dc.typeArticle

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