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- Title
The role of neutrophil to lymphocyte ratio as a predictor of testicular torsion.
- Authors
Maaroof, Abdulqahar S.; Balindi, Shakir S.
- Abstract
Introduction: The diagnosis of testicular torsion (TT) is an enigma in clinical settings. The challenges depicted by the lack of differential diagnosis with other scrotal pathologies due to similarity in clinical presentation leading to confusion in diagnosis. Urgent diagnosis could potentiate emergency treatment to prevent testicular loss, especially in the first 6 hours. We sought to clarify, if WBCs could have a diagnostic role especially the neutrophil-to-lymphocyte ratio (NLR). Methods: In this prospective study, a total of 51 medical patients (aged 12 to 33 years, 32 patients diagnosed with TT who presented to the Duhok governorate emergency hospital with acute scrotal pain, and 19 age-matched non-TT). Age, medical, and surgical history of patients recorded. Blood samples were collected and hematological analysis was performed to calculate NLR. Results: NLR has been significantly (<0.0001) elevated in TT compared to non-TT patients. High sensitivity and specificity for TT versus non-TT implies that NLR could be used as a diagnostic tool for differentiating TT from other scrotal pathologies. Conclusion: NLR has been shown elevation in TT patients compared to non-TT, henceforth, could be utilized as an adjuvant diagnostic tool for additional differential diagnosis for the scrotal pathologies, alongside being used for predicting testicular viability following TT.
- Subjects
NEUTROPHIL lymphocyte ratio; SPERMATIC cord torsion; HOSPITAL emergency services; EMERGENCY medical services; SYMPTOMS
- Publication
Revista Latinoamericana de Hipertension, 2024, Vol 19, Issue 3, p133
- ISSN
1856-4550
- Publication type
Article
- DOI
10.5281/zenodo.10980516