Is procalcitonin valuable in the differential diagnosis of testicular torsion and epididymo-orchitis

Saudi Med J. 2010 Feb;31(2):170-4.

Abstract

Objective: To evaluate the efficacy of procalcitonin (PCT) in the differential diagnosis of testicular torsion and epididymo-orchitis.

Methods: This experimental study was performed in the research laboratory of Dicle University, School of Medicine, Diyarbakir, Turkey between March and June 2008. The study included 24 male rats randomized equally in 3 groups: sham, epididymo-orchitis, and torsion groups. Blood samples were obtained from all rats at the beginning of the study. After torsion and infection occurred in the testes, new blood samples were obtained for PCT measurement. Then, all the right testes of the rats were excised for histopathological evaluation. The Wilcoxon signed test was used for statistical evaluation.

Results: Pre- and post PCT levels were statically compared, and PCT levels were significantly higher in the epididymo-orchitis group.

Conclusion: Procalcitonin could be an easy, fast, and safe marker for use in the differential diagnosis of testicular torsion and epididymo-orchitis.

MeSH terms

  • Animals
  • Biomarkers / blood*
  • Calcitonin / blood*
  • Calcitonin Gene-Related Peptide
  • Diagnosis, Differential
  • Epididymitis / blood
  • Epididymitis / diagnosis*
  • Epididymitis / pathology
  • Male
  • Orchitis / blood
  • Orchitis / diagnosis*
  • Orchitis / pathology
  • Protein Precursors / blood*
  • Rats
  • Rats, Wistar
  • Spermatic Cord Torsion / blood
  • Spermatic Cord Torsion / diagnosis*
  • Spermatic Cord Torsion / pathology

Substances

  • Biomarkers
  • Calca protein, rat
  • Protein Precursors
  • Calcitonin
  • Calcitonin Gene-Related Peptide