Torsion du cordon spermatique chez l’enfant : impact du mode de consultation sur le délai de prise en charge et le taux d’orchidectomie

Torsion of the Spermatic Cord: Clinical and Therapeutic Aspects in the Region of Thies (Senegal)

“…In our study, the average consultation time is 16.9 hours. These results are similar, some found in the literature, including Even et al [6] have an average delay of 19.5 hours and 17 hours, respectively.…”

“…Its prevalence varies according to the authors and also according to localities. In the United States, the prevalence of twisting of the spermatic cord is estimated to be 8.6% of all urological urgencies in young people between 10 and 19 years of age [6]. According to Audenet [7], its incidence is estimated at one per 4000 men under 25 years of age.…”

“…Our results are similar to the rates of Zini et al [22] who found respectively 15% and 18%. Glabeke E et al [9] reported 18.2% orchidectomy versus 20.3% for Even et al [6]. Orchidectomy is performed in cases of testicular necrosis.…”

Straight to the Operating Room: An Emergent Surgery Track for Acute Testicular Torsion Transfers

“…Depending on referral area, pediatric hospitals may accept as many as 45 percent of their torsion patients as transfers. 10 . With STOR, arrival to incision time for transferred torsions was expedited by 40 minutes.…”

“…In our study, a median of $537 per patient was saved when bypassing the emergency room. Recognizing that in tertiary care centers 23 – 35% of testicular torsion cases are transferred patients, 10–12 the anticipated cost savings could be considerable if the STOR pathway is universally adopted across the United States. This said, we acknowledge that the costs saved in bypassing the tertiary emergency room are unlikely to offset the overall cost of an inter-hospital transfer, and these results should not be interpreted as incentive to routinely transfer torsion patients.…”