title: Hyperbaric oxygen treatment for unilateral testicular torsion in a child.
abstract: Torsion of the testis is a urological emergency most commonly occurring in adolescent boys. Hyperbaric oxygen treatment (HBOT) has been shown to alleviate reperfusion injury in experimental ischaemia of the testis. We report a 13-year-old boy who had prolonged right testicular ischaemia. Despite surgery, the colour of the testis remained poor. He underwent a post-operative course of 10 HBOT over 8 days, with restoration of blood flow on colour Doppler and reduction of oedema. At four-month followup, the testis appeared normal on ultrasonography. To the best of our knowledge, this is the first published case of torsion of the testis treated with HBOT.
authors.affiliation: Department of Urology, Gülhane Military Medical Academy, Etlik, Ankara, Turkey.
authors.forename: Bilal Firat
authors.initials: BF
authors.lastname: Alp
authors.affiliation: Department of Underwater and Hyperbaric Medicine, Gülhane, Military Medical Academy, GATA Sualti Hekimligi ve Hiperbarik Tip AD 06100 Etlik, Ankara, Turkey, Phone: +90-(0)312-304-4793, Fax: +90-(0)216-348-7880, E-mail: gamze_cebi_@hotmail.com.
authors.forename: Gamze
authors.initials: G
authors.lastname: Cebi
authors.affiliation: Department of Underwater and Hyperbaric Medicine, Gülhane Military Medical Academy.
authors.forename: Adem
authors.initials: A
authors.lastname: Özdemir
authors.affiliation: Department of Urology, Gülhane Military Medical Academy, Etlik, Ankara, Turkey.
authors.forename: Hasan Cem
authors.initials: HC
authors.lastname: Irkilata
authors.affiliation: Department of Underwater and Hyperbaric Medicine, Gülhane Military Medical Academy.
authors.forename: Günalp
authors.initials: G
authors.lastname: Uzun
mesh_terms: D000293:Adolescent; D006801:Humans; D006931:Hyperbaric Oxygenation / Q000379:methods*; D007511:Ischemia / Q000150:complications / Q000628:therapy*; D008297:Male; D015427:Reperfusion Injury / Q000517:prevention & control*; D013086:Spermatic Cord Torsion / Q000601:surgery / Q000628:therapy*; D013737:Testis / Q000098:blood supply*
keywords: Genitourinary tract; case report; children; hyperbaric oxygenation therapy; reperfusion injury