Predictive role of hematologic parameters in testicular torsion

Korean J Urol. 2015 Apr;56(4):324-9. doi: 10.4111/kju.2015.56.4.324. Epub 2015 Mar 20.


Purpose: To evaluate the predictive role of the neutrophil to lymphocyte ratio (NLR), platelet to lymphocyte ratio (PLR), mean platelet volume (MPV), and platelet count (PLT) in the diagnosis of testicular torsion (TT) and testicular viability following TT.

Materials and methods: We analyzed two study groups in this retrospective study: 75 patients with a diagnosis of TT (group 1) and 56 age-matched healthy subjects (group 2). We performed a complete blood count as a part of the diagnostic procedure, and NLR, PLR, MPV, and PLT values were recorded. We compared the patient and control groups in terms of these parameters. Then, TT patients were divided into two subgroups according to the time elapsed since the onset of symptoms. Subsequently, we evaluated the relationship between the duration of symptoms and these parameters.

Results: There were significant differences between groups 1 and 2 in NLR, PLR, and PLT (p<0.001 for all). There was no predictive role of MPV in the diagnosis of TT (p=0.328). We determined significantly high sensitivity and specificity levels for NLR in the prediction of TT diagnosis (84% and 92%, respectively). Furthermore, NLR was significantly related to the duration of symptoms in TT patients (p=0.01).

Conclusions: NLR may be a useful parameter in the diagnosis of TT. Furthermore, NLR may be used as a predictive factor for testicular viability following TT.

Keywords: Lymphocyte; Mean platelet volume; Neutophils; Platelet count; Spermatic cord torsion.

MeSH terms

  • Adolescent
  • Humans
  • Lymphocyte Count / methods*
  • Male
  • Neutrophils / pathology*
  • Platelet Count / methods
  • Predictive Value of Tests
  • Prognosis
  • Retrospective Studies
  • Sensitivity and Specificity
  • Spermatic Cord Torsion* / blood
  • Spermatic Cord Torsion* / diagnosis
  • Spermatic Cord Torsion* / physiopathology
  • Symptom Assessment / methods
  • Testis* / pathology
  • Testis* / physiopathology
  • Tissue Survival
  • Turkey