Intraoperative Indocyanine Green Near-Infrared Fluorescence Imaging for Assessing Testicular Viability in Pediatric Testicular Torsion: A Retrospective Study

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Indocyanine green near-infrared fluorescence (ICG-NIRF) imaging significantly improves intraoperative testicular preservation rates and postoperative outcomes compared to conventional visual assessment in pediatric testicular torsion. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

Mingliu Huang; Xu Cao; Xiangming Yan; Lei Zhang; Zheng Fang; Ting Zhang; Mingcui Fu; GUOCHONG CHEN; Ting Feng; Hongliang Xia; Enfu Huang; Tianyi Wang; Shu Dai

doi:10.1016/j.jpurol.2026.106025

May 1, 2026Journal of Pediatric UrologyOpen Access

Intraoperative Indocyanine Green Near-Infrared Fluorescence Imaging for Assessing Testicular Viability in Pediatric Testicular Torsion: A Retrospective Study

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Key Points

To evaluate the efficacy of ICG-NIRF imaging compared to conventional surgery for assessing testicular viability in pediatric patients with testicular torsion.
Retrospective analysis of 225 pediatric patients undergoing scrotal exploration for testicular torsion from January 2019 to January 2025.
Comparison of outcomes between conventional surgery (n=118) and ICG-NIRF imaging (n=107) groups.
Primary outcomes assessed included intraoperative testicular preservation rates and postoperative success rates.
ICG-NIRF group showed a higher intraoperative preservation rate (74.77% vs. 61.02%, p=0.028).
Postoperative success rate was significantly higher in the ICG-NIRF group (88.75% vs. 69.44%, p=0.003).
ICG-NIRF group had lower rates of secondary orchiectomy (1.25% vs. 9.72%, p=0.027) and testicular atrophy (7.59% vs. 23.08%, p=0.02).

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Implication

Retrospective study shows ICG-NIRF imaging improves testicular preservation rates in pediatric testicular torsion, indicating better outcomes.

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Cite This Study

Huang et al. (2026) studied this question.

synapsesocial.com/papers/6a095b3e7880e6d24efe0fb2 https://doi.org/10.1016/j.jpurol.2026.106025

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Intraoperative Indocyanine Green Near-Infrared Fluorescence Imaging for Assessing Testicular Viability in Pediatric Testicular Torsion: A Retrospective Study

Key Points

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Implication

Discussion

Cite This Study

Intraoperative Indocyanine Green Near-Infrared Fluorescence Imaging for Assessing Testicular Viability in Pediatric Testicular Torsion: A Retrospective Study

Key Points

No abstract yet

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Implication

Discussion

Cite This Study

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