The goal of this clinical trial is to learn whether a non-invasive light-based test called Spatially Resolved Near-Infrared Spectroscopy (SR-NIRS) can measure blood flow and oxygen levels in the testicles of children. The study includes boys aged 1 month to 18 years, including those without testicular problems (part 1) and those with sudden scrotal pain (part 2).
Testicular torsion is a condition where the blood supply to the testicle becomes twisted and reduced. This can lead to permanent damage if not treated quickly.
Current methods, such as ultrasound or surgery, may not always be immediately available and can sometimes lead to delays or unnecessary procedures. This study explores whether SR-NIRS can provide useful information about blood flow and oxygen levels in painful testicles of the children.
The main questions the study aims to answer are:
* Part 1 (Feasibility study, n=24) Can SR-NIRS reliably collect usable measurements in healthy children?
* Part 2 (exploratory study, n=50): Do SR-NIRS measurements differ between children with and without torsion?
Participants will:
* Have a small probe placed on the skin over the testicle(s) and thigh
* Undergo a brief measurement during a single visit
This study will not affect diagnosis or treatment. The results will help guide future research.
Eligibility
Sex
MALE
Min age
1 Month
Max age
18 Years
Healthy volunteers
No
* Inclusion Criteria
* Part 1:
* Boys aged 1 month to 18 years.
* Presenting to the urology clinic with non-testicular complaints.
* Part 2:
* Boys aged 1 month to 18 years.
* Presenting to the Emergency Room or urology clinic with acute scrotum, defined as a TWIST (Testicular Workup for Ischemia and Suspected Torsion) score ≥ 1.
* Exclusion Criteria:
* Part 1:
* Any scrotal or testicular pathology, including hydrocele, inguinal hernia, undescended testicle, varicocele, or scrotal pain.
* History of testicular or scrotal surgery, except unilateral orchiopexy. Unable or unwilling to provide consent/assent
* Part 2:
* Boys with a history of testicular surgery, scrotal surgery, inguinal hernia, hydrocele, varicocele, or undescended testicle.
* Unable or unwilling to provide consent/assent.
Primary outcome measure(s)
Part 1- Feasibility of the investigational SR-NIRS device for successful acquisition of interpretable tissue oxygenation and perfusion signals from pediatric testicular tissue in children with clinically unaffected testes. — Day1; The outcome is measured immediately after the completion of the NIRS test (the intervention). Percentage of participants with at least 30 seconds of interpretable, artifact-free SR-NIRS recordings obtained at both measurement sites (testis and ipsilateral thigh reference site)
Part 2- Difference in Regional Tissue Perfusion Index (RTPI) between torsion and non-torsion presentations in children with acute scrotum — Day1; The outcome is measured immediately after the completion of the NIRS test (intervention) Participant-level standardized RTPI, defined as:
\[RTPI in affected testicle -RTPI in unaffected testicle/ RTPI in unaffected testicle\] x100 will be compared between torsion and non-torsion groups.
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
We use cookies to analyse site traffic and improve your experience. With your consent, we may also use cookies for advertising. You can change your choice at any time.