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Testicular Torsion: A Rare and Unknown Urological Emergency in Rural Senegalese

Received: 24 January 2023    Accepted: 13 February 2023    Published: 27 February 2023
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Abstract

Testicular torsion is an urological emergency most commonly observed in teenagers, and that requires urgent treatment to avoid the loss of testis. This study aimed to report the diagnostic and therapeutic aspects of testicular torsion in a peripheral hospital in Senegal. Methods: A total of 17 patients who underwent scrotal exploration for testicular torsion were included. We performed a retrospective and descriptive study between (January 2021 and October 2022) of patients who were diagnosed with testicular torsion and managed at Kolda Regional Hospital, Senegal. Results: The mean age was 18± 2.1 years (range, 14 - 22 years) and the mean duration of symptoms was 72.2±76.8 hours range (4h to 10 days). The Doppler ultrasound performed was in favor of torsion of the spermatic cord in all cases in the patients who performed the Doppler ultrasound. The color Doppler had shown 6 cases of testicular necrosis. The testis was retained in 11 (64.7%) patients and resected in 6 (35.3%). We noted a case of delayed healing (one month), and the postoperative course was simple. Conclusion: Testicular torsion affects younger under the age of 20. Testicular torsion is a rare emergency in urology which requires an accurate and timely diagnosis in order to avoid testis loss. The rate of orchidectomy is higher our hospital center.

Published in International Journal of Clinical Urology (Volume 7, Issue 1)
DOI 10.11648/j.ijcu.20230701.14
Page(s) 13-16
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Delays, Doppler Ultrasound, Necrosis, Orchidectomy, Testicular Torsion

References
[1] Hasan O, Mubarak M, Mohamed Jawad Alwedaie S, Baksh H, Alaradi H, Alarayedh A an al. Ultrasound heterogeneity as an indicator of testicular salvage in testicular torsion: A single center experience. Asian J Urol. 2022 Jan; 9 (1): 57-62.
[2] Kapp A, Troxler D, Prüfer F, Holland-Cunz S, Frech M, Gros SJ. Testicular Torsion in the Absence of Severe Pain: Considerations for the Pediatric Surgeon. Children 2021, 8, 429.
[3] Bah OR, Roupret M, Guirassya S, Diallo AB, Diallo MB, Richard F. Aspects cliniques et thérapeutiques de la torsion du cordon spermatique: étude de 27 cas. Progrès en urologie (2010) 20, 527—531.
[4] Melise Keays MD, Hans Rosenberg MD. Testicular torsion CMAJ 2019 July 15; 191: E792.
[5] DaJusta DG, Granberg CF, Villanueva C, Baker LA. Contemporary review of testicular torsion: new concepts, emerging technologies and potential therapeutics. J Pediatr Urol. 2013 Dec; 9 (6): 723-30.
[6] Drlík M, Kočvara R. Torsion of spermatic cord in children: a review. Journal of pediatric urology, 2013; 9 (3): 259-266.
[7] Shunmugam M, Goldman RD. Testicular torsion in children. Can Fam Physician. 2021 Sep; 67 (9): 669-671.
[8] Saxena AK., Castellani C, Ruttenstock EM, Höllwarth ME. Testicular torsion: a 15-year single-centre clinical and histological analysis. Acta paediatrica, 2012; 101 (7): 282-286.
[9] Sarr A, Fall B, Mouss B, Sow Y, Thiam A, Diao B and al. Aspects diagnostiques et thérapeutiques de la torsion du cordon spermatique au CHU Aristide-Le-Dantec de Dakar. Basic and Clinical Andrology, 2010; 20 (3): 203-208.
[10] Guo X, Sun L, Lei W, Li S, Guo H. Management of testicular torsion <360° in children: a single-center, retrospective study. J Int Med Res. 2020 Apr; 48 (4): 1-9.
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[12] Baker LA, Sigman D, Mathews RI, Benson J, Docimo SG. An analysis of clinical outcomes using color doppler testicular ultrasound for testicular torsion. Pediatrics. 2000; 105 (3): 604-607.
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[14] Al-Kandari AM, Kehinde EO, Khudair S, Ibrahim H, ElSheemy MS, Shokeir AA. Intermittent Testicular Torsion in Adults: An Overlooked Clinical Condition. Med Princ Pract. 2017; 26 (1): 30-34.
[15] Sood A, Li H, Suson KD, Majumder K, Sedki M, Abdollah F and al. Treatment patterns, testicular loss and disparities in inpatient surgical management of testicular torsion in boys: a population-based study 1998-2010. BJU Int. 2016; 118 (6): 969-979.
[16] Manohar CS, Gupta A, Keshavamurthy R, Shivalingaiah M, Sharanbasappa BR, Singh VK. Evaluation of Testicular Workup for Ischemia and Suspected Torsion score in patients presenting with acute scrotum. Urol Ann. 2018 Jan-Mar; 10 (1): 20-23.
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Cite This Article
  • APA Style

    Thierno Oumar Diallo, Alimou Diallo, Youssouf Keïta, Amadou Ba, Emmanuel Kazubengue, et al. (2023). Testicular Torsion: A Rare and Unknown Urological Emergency in Rural Senegalese. International Journal of Clinical Urology, 7(1), 13-16. https://doi.org/10.11648/j.ijcu.20230701.14

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    ACS Style

    Thierno Oumar Diallo; Alimou Diallo; Youssouf Keïta; Amadou Ba; Emmanuel Kazubengue, et al. Testicular Torsion: A Rare and Unknown Urological Emergency in Rural Senegalese. Int. J. Clin. Urol. 2023, 7(1), 13-16. doi: 10.11648/j.ijcu.20230701.14

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    AMA Style

    Thierno Oumar Diallo, Alimou Diallo, Youssouf Keïta, Amadou Ba, Emmanuel Kazubengue, et al. Testicular Torsion: A Rare and Unknown Urological Emergency in Rural Senegalese. Int J Clin Urol. 2023;7(1):13-16. doi: 10.11648/j.ijcu.20230701.14

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  • @article{10.11648/j.ijcu.20230701.14,
      author = {Thierno Oumar Diallo and Alimou Diallo and Youssouf Keïta and Amadou Ba and Emmanuel Kazubengue and Mamadou II Barry and Abdoulaye Bobo Diallo and Oumar Raphiou Bah},
      title = {Testicular Torsion: A Rare and Unknown Urological Emergency in Rural Senegalese},
      journal = {International Journal of Clinical Urology},
      volume = {7},
      number = {1},
      pages = {13-16},
      doi = {10.11648/j.ijcu.20230701.14},
      url = {https://doi.org/10.11648/j.ijcu.20230701.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcu.20230701.14},
      abstract = {Testicular torsion is an urological emergency most commonly observed in teenagers, and that requires urgent treatment to avoid the loss of testis. This study aimed to report the diagnostic and therapeutic aspects of testicular torsion in a peripheral hospital in Senegal. Methods: A total of 17 patients who underwent scrotal exploration for testicular torsion were included. We performed a retrospective and descriptive study between (January 2021 and October 2022) of patients who were diagnosed with testicular torsion and managed at Kolda Regional Hospital, Senegal. Results: The mean age was 18± 2.1 years (range, 14 - 22 years) and the mean duration of symptoms was 72.2±76.8 hours range (4h to 10 days). The Doppler ultrasound performed was in favor of torsion of the spermatic cord in all cases in the patients who performed the Doppler ultrasound. The color Doppler had shown 6 cases of testicular necrosis. The testis was retained in 11 (64.7%) patients and resected in 6 (35.3%). We noted a case of delayed healing (one month), and the postoperative course was simple. Conclusion: Testicular torsion affects younger under the age of 20. Testicular torsion is a rare emergency in urology which requires an accurate and timely diagnosis in order to avoid testis loss. The rate of orchidectomy is higher our hospital center.},
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Testicular Torsion: A Rare and Unknown Urological Emergency in Rural Senegalese
    AU  - Thierno Oumar Diallo
    AU  - Alimou Diallo
    AU  - Youssouf Keïta
    AU  - Amadou Ba
    AU  - Emmanuel Kazubengue
    AU  - Mamadou II Barry
    AU  - Abdoulaye Bobo Diallo
    AU  - Oumar Raphiou Bah
    Y1  - 2023/02/27
    PY  - 2023
    N1  - https://doi.org/10.11648/j.ijcu.20230701.14
    DO  - 10.11648/j.ijcu.20230701.14
    T2  - International Journal of Clinical Urology
    JF  - International Journal of Clinical Urology
    JO  - International Journal of Clinical Urology
    SP  - 13
    EP  - 16
    PB  - Science Publishing Group
    SN  - 2640-1355
    UR  - https://doi.org/10.11648/j.ijcu.20230701.14
    AB  - Testicular torsion is an urological emergency most commonly observed in teenagers, and that requires urgent treatment to avoid the loss of testis. This study aimed to report the diagnostic and therapeutic aspects of testicular torsion in a peripheral hospital in Senegal. Methods: A total of 17 patients who underwent scrotal exploration for testicular torsion were included. We performed a retrospective and descriptive study between (January 2021 and October 2022) of patients who were diagnosed with testicular torsion and managed at Kolda Regional Hospital, Senegal. Results: The mean age was 18± 2.1 years (range, 14 - 22 years) and the mean duration of symptoms was 72.2±76.8 hours range (4h to 10 days). The Doppler ultrasound performed was in favor of torsion of the spermatic cord in all cases in the patients who performed the Doppler ultrasound. The color Doppler had shown 6 cases of testicular necrosis. The testis was retained in 11 (64.7%) patients and resected in 6 (35.3%). We noted a case of delayed healing (one month), and the postoperative course was simple. Conclusion: Testicular torsion affects younger under the age of 20. Testicular torsion is a rare emergency in urology which requires an accurate and timely diagnosis in order to avoid testis loss. The rate of orchidectomy is higher our hospital center.
    VL  - 7
    IS  - 1
    ER  - 

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Author Information
  • Surgical Department, Regional Hospital, Kolda, Senegal

  • Urology-Andrology Department, National Hospital of Ignace Deen, Conakry University, Guinea

  • Surgical Department, Regional Hospital, Kolda, Senegal

  • Surgical Department, Regional Hospital, Kolda, Senegal

  • Urology-Andrology Department, National Hospital of Ignace Deen, Conakry University, Guinea

  • Urology-Andrology Department, National Hospital of Ignace Deen, Conakry University, Guinea

  • Urology-Andrology Department, National Hospital of Ignace Deen, Conakry University, Guinea

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