Testicular torsion represents a pediatric surgical emergency. In this 6-year study with 140 patients, prepubescent (<13 years) and postpubescent (≥13 years) males with testicular torsion were identified. Prepubescent boys had a longer symptom duration (P = .016) and underwent more orchiectomies (P = .005) compared with postpubescent boys. The risk of orchiectomy decreased by 15% per 1-year increase in age (P = .002). Boys who underwent an orchiectomy had a longer symptom duration (P < .001), were younger (P = .002), had scrotal swelling (P = .001), scrotal erythema (P < .001), higher degrees of torsion (P = .036), and more left-sided surgeries (P = .014) compared with those who had an orchiopexy. Postpubescent boys were 63% less likely to receive an orchiectomy versus an orchiopexy compared with prepubescent boys. Pediatricians should be cognizant of the age discrepancies between prepubescent and postpubescent males with testicular torsion and educate parents about the importance of urgent evaluation in the Emergency Department to reduce the likelihood of an orchiectomy.

睾丸扭转是小儿外科急症。在这项对 140 名患者进行的为期 6 年的研究中，确定了患有睾丸扭转的青春期前（<13 岁）和青春期后（≥13 岁）男性。与青春期后男孩相比，青春期前男孩的症状持续时间更长 ( P = .016) 并且接受了更多的睾丸切除术 ( P = .005)。年龄每增加 1 岁，睾丸切除术的风险就会降低 15% ( P = .002)。接受睾丸切除术的男孩症状持续时间更长 ( P < .001)，更年轻 ( P = .002)，有阴囊肿胀 ( P = .001)，阴囊红斑 ( P < .001)，扭转程度更高 ( P= .036)，与接受睾丸固定术的患者相比，左侧手术更多 ( P = .014)。与青春期前男孩相比，青春期后男孩接受睾丸切除术的可能性比睾丸固定术低 63%。儿科医生应认识到青春期前和青春期后男性睾丸扭转的年龄差异，并教育父母在急诊科进行紧急评估以降低睾丸切除术可能性的重要性。