Testicular torsion-our 14 year experience and outcomes

Joint Authors

Jalal, Akbar A.
al-Arid, Amir
al-Aradi, Ali
Umran, Hasan

Source

Journal of the Bahrain Medical Society

Issue

Vol. 32, Issue 1 (31 Mar. 2020), pp.21-24, 4 p.

Publisher

Bahrain Medical Society

Publication Date

2020-03-31

Country of Publication

Bahrain

No. of Pages

4

Main Subjects

Medicine

Abstract EN

Background: Torsion of the testes is one of the major urological emergencies, with an incidence of 1/4,000 in males younger than 25 years.1 In this paper, we report our experience in the management of testicular torsion (TT) in Salmaniya Medical Complex (SMC).

Methods: Using SMC’s operative logbook, we undertook a retrospective review on all patients who underwent immediate scrotal exploration for a presumptive diagnosis of TT from January 2004 through December 2017.

Using SPSS, we present descriptive statistics and report all significant relationships.

Results: A total of 259 scrotal explorations were undertaken for suspected TT.

The mean age of patients presenting with suspected TT in our cohort was 20 years, ranging from (11-58 years).

Around 42% (n=109) of these had non-viable testes on exploration and a unilateral orchidectomy was performed, 28.5% (n=74) had TT for which detorsion was done while 27.8% (n=72) had a negative exploration.

Amongst the patients with TT, 60% (n=183) had an orchidectomy whereas only 40% of testes were salvageable by detorsion and orchidopexy.

Although we had an equal number of patients presenting with right and left TT, patients with left sided TT had a significantly higher orchidectomy rate than patients with right sided TT, 61 % (n=66) compared with 39% (n=43) respectively, p<0.029.

Conversely the chance of salvaging the right testes was better than the left testes with an OR of 1.969 (95% CI, 1.069- 3.626).

Patients with salvageable testes, unsalvageable testes and negative explorations had varying contralateral orchidopexy rates of 90%, 71% and 62% respectively.

Conclusions: These findings indicate that our testicular salvage rate is low.

As time to presentation is the most important factor in predicting outcome, more effort should be invested into increasing public awareness about TT in Bahrain

American Psychological Association (APA)

al-Arid, Amir& al-Aradi, Ali& Umran, Hasan& Jalal, Akbar A.. 2020. Testicular torsion-our 14 year experience and outcomes. Journal of the Bahrain Medical Society،Vol. 32, no. 1, pp.21-24.
https://search.emarefa.net/detail/BIM-957984

Modern Language Association (MLA)

al-Arid, Amir…[et al.]. Testicular torsion-our 14 year experience and outcomes. Journal of the Bahrain Medical Society Vol. 32, no. 1 (2020), pp.21-24.
https://search.emarefa.net/detail/BIM-957984

American Medical Association (AMA)

al-Arid, Amir& al-Aradi, Ali& Umran, Hasan& Jalal, Akbar A.. Testicular torsion-our 14 year experience and outcomes. Journal of the Bahrain Medical Society. 2020. Vol. 32, no. 1, pp.21-24.
https://search.emarefa.net/detail/BIM-957984

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references : p. 24

Record ID

BIM-957984