Abstract
Background : Testicular torsion is a common cause of acute scrotum and is complicated by loss of testes. Local data on testicular torsion is limited. This study therefore aimed at determining the incidence and clinical presentation of patients with testicular torsion in our setup. Methods : This retrospective study reviewed files of 90 patients admitted to our hospital with diagnosis of testicular torsion from January 2011 to December 2015. Results : The mean age of presentation was 19± 6 years. Fifty-nine (66%) of the patients presented with right sided torsion while 5 (6 %) had bilateral torsion. Acute, intermittent and missed types of torsion were seen in 59 (66%), 19 (21%) and 12 (13%) respectively. The duration of symptoms from onset tosurgery was 17± 4 hours. The testis salvage rates for acute and intermittent torsion were 18% and 21% respectively. Conclusion : Testis salvage rates were lower in our setup compared to other studies. This could be due to delays in presentation and in diagnosis. Therefore, a high index of suspicion should always be maintained in all cases of acute scrotal pain. Key words : Testicular, Torsion, Acute scrotum, Intermittent, Missed
Highlights
Testicular torsion results from twisting of the vessels supplying the testes with resultant ischemia [1] It is described as acute or intermittent based on the timing of presentation [2]
We reviewed the files of all the patients presenting to the hospital with testicular torsion from January 2011 to December 2015
A salvage rate of 18% was achieved in the patients with acute torsion
Summary
Testicular torsion results from twisting of the vessels supplying the testes with resultant ischemia [1] It is described as acute or intermittent based on the timing of presentation [2]. When a patient presents with symptoms for less than 24 hours, it is referred to as acute torsion [2, 3]. The diagnosis of missed testicular torsion is made preoperatively on ultra sound or confirmed retrospectively during scrotal exploration [5]. Delay in diagnosis or treatment can result in non-viable testes, this is described as a missed torsion [6]. Testicular torsion is a common cause of acute scrotum and is complicated by loss of testes. Intermittent and missed types of torsion were seen in 59 (66%), 19 (21%) and 12 (13%) respectively.
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Free) 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
