Testicular torsion : district Hospital experience

Abstract EN

Introduction: Testicular torsion is a true urologic emergency, and represents the most common cause of testicular loss in adolescents.

The aim of this study was to investigate some clinical findings and their value in diagnosis.

Methods: This retrospective study included all patients who underwent surgical exploration for suspected torsion between 2013 and 2018.

Patients’ medical files were reviewed for specific epidemiological and clinical information.

Data were analysed using SPSS version 23, and calculations of the sensitivity, specificity and predictive value of the clinical signs were carried out.

Results: Forty-eight patients were included in the study, of whom 32 were found to have torsion upon surgical exploration.

The mean age of patients was 17 years.

The salvage rate was dependent on the duration of symptoms.

The cremasteric reflex, which was found to have 100% sensitivity in predicting testicular torsion, was examined in less than one-third of cases.

Cold weather was found to be a predisposing factor for torsion.

Conclusion: Complete history and physical examination are critical to avoid delays in diagnosing testicular torsion, which can result in testicular loss.