Traumatic testicular torsion

Ogbetere, Friday Emeakpor

doi:10.4103/ua.ua_159_20

Cited by 4 publications

(1 citation statement)

References 9 publications

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“…The mechanism of post traumatic torsion is believed to be due to sudden contraction of the cremaster muscle that surrounds the spermatic cord, and this results in TT, or hematoma formation or even rupture of affected testis ( 23 ). The clinical presentation of trauma alone, with doppler U/S examination does not negate the need for urgent surgical exploration in the management 1of trauma-included TT ( 24 ). In cases of scrotal trauma, there is mild to moderate increase in activity on TS and the presence of a hematoma a halo sign may be appreciated and this becomes indistinguishable to TT ( 19 ).…”

Section: Discussionmentioning

confidence: 99%

The effectiveness of radionuclide scintigraphy in confirming testicular torsion at delayed presentation

Zondi,

Pilloy,

Ntuli

et al. 2023

Transl Androl Urol

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Background Testicular torsion (TT) is a urological emergency that needs early diagnosis and intervention to prevent testicular death and necrosis. This study aimed to determine the efficacy of testicular scintigraphy (TS) in confirming the clinical diagnosis of TT and how this imaging method correlates with the surgical findings. Methods A retrospective cohort review of clinical data was performed for 68 patients referred for TS from January 2016 to December 2021 to rule out possible TT. The final diagnosis was confirmed at surgery for all those with TS positive for TT. Results The median age of the patients was 18.5 years, interquartile range of 15–31 years. Commonly presenting symptoms were pain (99%) and swelling (68%). Only 6% had history of trauma. TT was diagnosed by technetium-99m ( 99m Tc)-pertechnetate in 35 (51%) patients all of whom underwent surgical exploration. Of this group, 7 (20%) had manual detorsion intraoperatively (intermittent torsion), in 20 (57%) missed (complete) torsion was confirmed and 8 (23%) had a necrotic testis. Of the remaining 33 patients with results negative for torsion, 10 were normal and 23 were diagnosed with either epididymitis 13/23 (57%), orchitis 3/23 (13%) or 7/23 (30%) with epididymo-orchitis. TT was more common in patients under 15 and 15–19 years (P<0.05). The mean presentation time was 5 days with a range of 1–30 days. Conclusions The 99m Tc-pertechnetate scan remains an effective investigation in the diagnosis of TT and may serve as a gate-keeper for surgery even in patients who present late for treatment.

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Section: Discussionmentioning

confidence: 99%

The effectiveness of radionuclide scintigraphy in confirming testicular torsion at delayed presentation

Zondi,

Pilloy,

Ntuli

et al. 2023

Transl Androl Urol

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Testicular torsion in Sub-Saharan Africa: a scoping review

Nedjim,

Biyouma,

Mahamat

et al. 2023

Afr J Urol

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Testicular torsion is a surgical emergency caused by rotation of the vascular pedicle of the testicle around its axis. If left untreated, testicular necrosis can set in, necessitating orchiectomy and loss of the testicle. The authors of this article reviewed articles on testicular torsion published in sub-Saharan Africa. The aim of this work is to establish the patient profile, consultation delay and orchiectomy rate in the sub-Saharan context. Data from the review will be compared with large non-sub-Saharan series and journals. Twenty-three articles were selected for review. All these articles were published between 1985 and 2022. A total of 1410 patients were included in the review. The average age was 19.7 years. The majority of patients were from urban areas. Risk factors for torsion were identified in 9 publications. The mode of hospital admission varied. Acute scrotal pain was the main symptomatology reported. The mean time in hours between onset of symptoms and consultation was 52.5 h. The left side was affected in 46.04% and the right in 49.81%. Four authors reported referral to a health center, and 8 authors reported scrotal ultrasonography. The rate of orchiectomy performed was found in 21 publications, the mean for the review as a whole was 46.4% with extremes of 13.2 and 72%. The orchiectomy rate was 52.4% in studies that reported an initial referral to a health center (patient transfer), versus 36.9% in studies that did not. In studies reporting ultrasound, the orchiectomy rate was 52.5%, compared with 36.9% in those not reporting ultrasound. On the basis of these results, we can formulate the following recommendations and actions: (i) further study of this pathology in sub-Saharan countries; (ii) raise public awareness of this pathology; (iii) train and retrain community workers and health center managers; and (iv) train general practitioners and surgeons in emergency scrototomy, orchidopexy and orchidectomy.

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A five-year review of presentation and management outcome of acute testicular torsion in two Nigerian referral centres

Ogbetere

Urube

2022

African Urology

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Traumatic testicular torsion

Cited by 4 publications

References 9 publications

The effectiveness of radionuclide scintigraphy in confirming testicular torsion at delayed presentation

The effectiveness of radionuclide scintigraphy in confirming testicular torsion at delayed presentation

Testicular torsion in Sub-Saharan Africa: a scoping review

A five-year review of presentation and management outcome of acute testicular torsion in two Nigerian referral centres

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