Correlation of ultrasonography and surgical outcome in patients with testicular torsion
| Autor: | Mahadevan Deva Tata, Syed Mahmud Irfan Alsagoff, Sumitta Thamil Selvam, Ismail Abdul Sattar Burud, Nor Aniza Binti Zakaria, Roshinipriya Ganesin |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Testicular torsion orchidectomy Adolescent 030231 tropical medicine Testicular pain Sensitivity and Specificity Spermatic cord Young Adult 03 medical and health sciences 0302 clinical medicine Predictive Value of Tests Scrotum medicine Humans Cyst Medical history 030212 general & internal medicine Surgical emergency Child Aged Retrospective Studies Spermatic Cord Torsion testicular pain ultrasonography business.industry Research Ultrasound Ultrasonography Doppler General Medicine Middle Aged medicine.disease Acute Pain Treatment Outcome medicine.anatomical_structure Child Preschool Radiology medicine.symptom business |
| Zdroj: | Pan African Medical Journal; Vol. 36 No. 1 (2020) The Pan African Medical Journal |
| ISSN: | 1937-8688 |
| Popis: | Introduction:testicular torsion is a surgical emergency that is caused by twisting of the spermatic cord and its content. This condition causes irreversible changes after 6 hours. Early recognition and management of testicular torsion is important for testicular salvage and preservation of fertility. Methods:this is a retrospective study done on all patients who presented with acute scrotal pain from January 2013 to December 2017. The data collected included the patient's age, symptoms, the time duration between the onset, ultrasound, and surgery, ultrasound findings with Doppler and the surgical intervention. Statistical analysis was performed using SPSS 25.0. Data are presented as mean (SD) values. Differences between groups and predictive values were calculated using Chi-square, t-test and Mann-Whitney U-test and are expressed by value with 95% CI. Results:the total number of patients who presented with acute scrotal pain were 88. Testicular torsion was diagnosed in 55 (62.50%) of the patients, 17 (19.32%) had epididymis-orchitis, 5 (5.68%) had torsion of appendage/cyst, and 11 (12.50%) had normal testis. Ultrasound has a sensitivity and specificity of 88.24% and 68.40% respectively. It is a good tool to detect testicular torsion but it is operator dependent. Positive predictive value was 83.33% and negative predictive value was 76.47%. When ultrasound is combined with clinical findings the rate of negative exploration is reduced by 10%. Conclusion:good medical history, appropriate clinical evaluation and performing an ultrasound of the scrotum are important in testicular torsion. US evaluation in cases presented after 24 hours does not change the outcome. |
| Databáze: | OpenAIRE |
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