Clinical characteristics of testicular torsion in children and analysis of factors influencing testicular preservation

Background: Testicular torsion is a common urological emergency in children that requires immediate surgical intervention to salvage the testis. Delayed diagnosis and treatment can lead to ischemic necrosis and testicular loss. Identifying clinical and laboratory factors associated with testicular viability is therefore crucial for improving diagnostic accuracy and clinical outcomes. This study aimed to analyze the clinical characteristics, diagnostic findings, and treatment outcomes of pediatric testicular torsion and to evaluate the predictive value of hematological parameters for testicular preservation. Methods: -tests, multivariate logistic regression, and receiver operating characteristic (ROC) curve analysis to identify risk factors and assess the accuracy of predicting testicular viability. Patients were followed up for 1 year to monitor testicular survival. Results: Color Doppler flow imaging indicated reduced or absent testicular blood flow in all patients, and intraoperative exploration confirmed torsion of varying degrees. Significant differences (P