Testicular torsion: A perspective from the Middle East

A. A. Al-Hunayan, A. M. Hanafy, E. O. Kehinde, K. A. Al-Awadi, Y. M. Ali, A. R. Al-Twheed, H. Abdulhalim

Research output: Contribution to journalReview articlepeer-review

11 Citations (Scopus)

Abstract

Objective: To report our experience in the management of testicular torsion with emphasis on seasonal variation, salvage rate and the status of the torted testis 3-6 months after orchidopexy. Subjects and Methods: Seventy-five patients with a presumptive diagnosis of testicular torsion, who presented to our hospital between January 1999 and December 2002, were included in the study. Following scrotal exploration, 63 patients were found to have testicular torsion. Of these, 11 with nonviable testes had orchiectomy while 52 with viable testes had orchidopexy. Both groups of patients had simultaneous contralateral orchidopexy. Patients who had orchidopexy were followed up 3-monthly by testicular ultrasound to assess the volume of the affected testis. Results: Sixty-three patients were confirmed to have testicular torsion. The average number of new cases in the winter was 6.7 compared to 4 in the summer. Fifty-two patients underwent orchidopexy to give an operative salvage rate of 82.5%. Of 51 patients in whom the duration of torsion was less than 24 h, 1 (2.0%) had a nonviable testis, whereas of 12 patients in whom the duration of torsion was more than 24 h, 10 (83.3%) had a nonviable testis. After a minimum follow-up of 3 months for patients who had orchidopexy, 7 (13.5%) developed testicular atrophy. The incidence rate was estimated to be 7.9 cases per 100,000 population. Conclusion: The highest incidence was during the cold season. The outcome of surgical management of testicular torsion was dependent on the duration of torsion.

Original languageEnglish
Pages (from-to)255-259
Number of pages5
JournalMedical Principles and Practice
Volume13
Issue number5
DOIs
Publication statusPublished - Sep 16 2004

Keywords

  • Middle East
  • Seasons
  • Spermatic cord torsion, incidence
  • Testicular atrophy
  • Testis

ASJC Scopus subject areas

  • Medicine(all)

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