Materials and Methods: The data of 86 patients under the age of 18 years, who underwent emergency scrotal exploration for testicular torsion between January 2013 and December 2019, were retrospectively analyzed. The patients were divided into two groups as Group 1 (Successful Salvage - Detorsion: 63 patients), and Group 2 (Failed Salvage - Orchiectomy: 23 patients). Demographic data, clinical features, laboratory tests and radiological examinations were evaluated.

Results: The mean age was 13.7 ± 3.3 years (Group 1: 13.50 ± 3.84, Group 2: 14.47 ± 1.64 years). The duration of symptoms was significantly higher in Group 2 (5.12 ± 2.54 vs. 15.08 ± 6.30 hours, p<0.001). Among the hematological parameters, the mean monocyte count was statistically significantly higher in Group 2 than in Group 1 (Group 1: 0.62 ± 0.27, Group 2: 0.99 ± 0.51 103 μ/L, p: 0.001). Multivariate analysis showed that the duration of symptoms and monocyte count were independent risk factors in predicting testicular salvage. (p < 0.001, p = 0.042, respectively)

Conclusion: This study shows that the mean monocyte count, in addition to the duration of symptoms, is a simple hematological parameter that can contribute to the prediction of testicular salvage in children with testicular torsion.