Les torsions sur testicules cryptorchides
Bibliographic record
Abstract
But : La cryptorchidie est une pathologie assez fréquente en urologie.Elle est associée à un risque élevé d’infertilité et de dégénérescence.Elle semble aussi être associée à un risque importantde torsion. Cette entité est très peu abordée dans la littérature.Nous rapportons tous les cas de torsion sur testicule cryptorchideobservés à notre service dans le but de mieux caractériser cettepathologie et de réduire ainsi le taux d’orchidectomies.Méthodologie : Il s’agit d’une étude rétrospective portant sur tousles cas de torsion sur testicule cryptorchide opérés dans notre serviced’urologie entre 1999 et 2007. Les patients ont fait l’objetd’une description basée sur le résumé de leurs observations.Résultats : Les patients étaient âgés de 7 mois à 39 ans. La torsiontouchait le testicule droit dans 53 % des cas. Le tableau cliniquecomportait une douleur au niveau de la région inguinaled’apparition soudaine avec une masse sous-cutanée inflammatoireet douloureuse à ce niveau et surtout un hémiscrotum homolatéralvide. Dans 60 % des cas, le diagnostic était tardif et uneorchidectomie a été réalisée. Dans les autre cas, un abaissementdu testicule a été réalisé avec orchidopexie controlatéral dans lemême temps opératoire.Conclusion : Bien qu’il s’agisse d’une pathologie peu courante, latorsion sur testicule cryptorchide doit être étudiée davantage. Lediagnostic précoce permettra de sauver et d’abaisser le testiculeet faciliter ainsi le dépistage d’une éventuelle dégénérescence.Purpose: Cryptorchidism is a rather frequent pathology in urology.It is associated with a high risk of infertility and degeneration. Italso seems to be associated with a high risk of torsion. This entityis poorly studied in the literature. We studied the cases of torsionon cryptorchid testicles hospitalized at our service, to bettercharacterize this pathology and reduce the rate of orchidectomy.Methods: We underwent a retrospective study of all the casesof torsion on a cryptorchid testicle hospitalized in our service ofurology between 1999 and 2007.Results: The age of patients was between 7 months and 39 years.Torsion touched the right testicle in 53% of the cases. Patientsexperienced a brutal pain of the inguinal area with an under cutaneousmass inflammatory and a painful and empty homolateralscrotum. In 60% of the cases, the diagnosis was late and an orchidectomywas carried out. In the other cases, a lowering of thetesticle was done with the controlateral orchidopexy.Conclusion: Even though torsions on a cryptorchid testicle arerare, we should not ignore them. The early diagnosis will makeit possible to save and lower the testicle, and track a possibledegeneration.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.003 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.002 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.008 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".