Clinical findings of hospitalized patients with a primary diagnosis of testicular torsion in Shahid Beheshti Hospital in Babol from 2012 -2021: Short Communication

Taherian, Morteza; Shirafkan, Hoda; Kamali Ahangar, Sekineh; Shafi, Hamid

doi:10.61186/JBUMS.31.2.172

Volume 31, Issue 2 (July 2024) J Birjand Univ Med Sci. 2024, 31(2): 172-181 | Back to browse issues page

‎ 10.61186/JBUMS.31.2.172

Research code: پایان‌نامه ۷۲۴۱۳۳۶۱۲

Ethics code: IR.MUBABOL.REC.1401.012

Mendeley

Zotero

RefWorks

Taherian M, Shirafkan H, Kamali Ahangar S, Shafi H. Clinical findings of hospitalized patients with a primary diagnosis of testicular torsion in Shahid Beheshti Hospital in Babol from 2012 -2021: Short Communication. J Birjand Univ Med Sci. 2024; 31 (2) :172-181
URL: http://journal.bums.ac.ir/article-1-3395-en.html

Clinical findings of hospitalized patients with a primary diagnosis of testicular torsion in Shahid Beheshti Hospital in Babol from 2012 -2021: Short Communication

Morteza Taherian¹

, Hoda Shirafkan²

, Sekineh Kamali Ahangar³

, Hamid Shafi ^*⁴

1- Student Research Committee, Babol University of Medical Sciences, Babol, Iran
2- Department of Community Medicine, School of Medicine, Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
3- Clinical Research Development Center, Shahid Beheshti Hospital, Babol University of Medical Sciences, Babol, Iran
4- Department of Urology, School of Medicine, Clinical Research Development Center, Shahid Beheshti Hospital, Babol University of Medical Sciences, Babol, Iran , dr_hamidshafi@yahoo.com

Abstract: (613 Views)

Testicular torsion, as one of the medical emergencies, needs prompt diagnostic and treatment measures. This cross-sectional study aimed to assess the clinical and paraclinical findings and the treatment measures performed in the community of hospitalized patients who underwent surgery in Shahid Beheshti Hospital of Babol from 2012 to 2021 with the initial diagnosis of testicular torsion. The research sample was selected via the convenience sampling method. The necessary information was collected from patients' medical records in the form of a checklist. Thereafter, the data were analyzed in SPSS software (version 22) using descriptive and graphical indicators, as well as Chi-square and Fisher's exact tests at a significance level of 0.05. The findings demonstrated that 197 patients with a mean age of 18.91 years were included in the study. The majority of them (n=121; 61.42%) had torsion on the right side. More than 98% of patients experienced pain, while most of them did not have fever (n=160; 81.22%) and vomiting (n=153; 77.66%). In 148 (75.13%) patients, the final diagnosis was testicular torsion, and in 101 (68.24%) patients, the testicle was preserved. Moreover, the result of the surgery had a significant relationship with the degree of rotation and the duration of the onset of symptoms until hospitalization and from hospitalization to surgery (P>0.001, 0.001 and 0.026, respectively). It can be concluded that an understanding of clinical characteristics of testicular torsion cases and as a result, informing the treatment staff involved in the treatment process, reduce the duration of delay in surgery and leads to more appropriate clinical treatment and improved results in testicular torsion patients.

Keywords: Emergency, Orchiectomy, Spermatic cord, Testicular torsion

Full-Text [PDF 451 kb] (204 Downloads) | | Full-Text (HTML) (79 Views)

Type of Study: Short Communication | Subject: Surgery of Nephrology
Received: 2024/03/6 | Accepted: 2024/06/29 | ePublished ahead of print: 2024/08/10 | ePublished: 2024/08/5

References

1. Bayne CE, Villanueva J, Davis TD, Pohl HG, Rushton H. Factors associated with delayed presentation and misdiagnosis of testicular torsion: a case-control study. J Pediatr. 2017; 186: 200-4. DOI: 10.1016/j.jpeds.2017.03.037 [DOI:10.1016/j.jpeds.2017.03.037]

2. Howe AS, Vasudevan V, Kongnyuy M, Rychik K, Thomas LA, Matuskova M, et al. Degree of twisting and duration of symptoms are prognostic factors of testis salvage during episodes of testicular torsion. Transl Androl Urol. 2017; 6(6): 1159-66. DOI: 10.21037/tau.2017.09.10 [DOI:10.21037/tau.2017.09.10]

3. Shimizu S, Tsounapi P, Dimitriadis F, Higashi Y, Shimizu T, Saito M. Testicular torsion-detorsion and potential therapeutic treatments: A possible role for ischemic postconditioning. Int J Urol. 2016; 23(6): 454-63. DOI: 10.1111/iju.13110 [DOI:10.1111/iju.13110]

4. Preece J, Ching C, Yackey K, Jayanthi V, McLeod D, Alpert S, et al. Indicators and outcomes of transfer to tertiary pediatric hospitals for patients with testicular torsion. J Pediatr Urol. 2017; 13(4): 388. e1- e6. DOI: 10.1016/j.jpurol.2017.03.034 [DOI:10.1016/j.jpurol.2017.03.034]

5. Greear GM, Romano MF, Katz MH, Munarriz R, Rague JT. Testicular torsion: epidemiological risk factors for orchiectomy in pediatric and adult patients. Int J Impot Res. 2021; 33(2): 184-90. DOI: 10.1038/s41443-020-0331-8 [DOI:10.1038/s41443-020-0331-8]

6. Wang F, Mo Z. Clinical evaluation of testicular torsion presenting with acute abdominal pain in young males. Asian J Urol. 2019; 6(4): 368-72. DOI: 10.1016/j.ajur.2018.05.009 [DOI:10.1016/j.ajur.2018.05.009]

7. Zarghami A, Shafi H, Mostafazadeh-Bora M. Time: the key element of the management of testicular torsion. J Acute Dis. 2016; 5(2): 177. DOI: 10.1016/j.joad.2015.12.004 [DOI:10.1016/j.joad.2015.12.004]

8. Dias Filho AC, Maroccolo MVO, Ribeiro HdP, Riccetto CLZ. Presentation delay, misdiagnosis, inter-hospital transfer times and surgical outcomes in testicular torsion: analysis of statewide case series from central Brazil. Int Braz J Urol. 2020; 46(6): 972-81. DOI: 10.1590/S1677-5538.IBJU.2019.0660 [DOI:10.1590/s1677-5538.ibju.2019.0660]

9. Sazgar M, Montazer SH, Hosseininejad SM, Jahanian F, Rezaimehr B, Behbohaninia M, et al. Clinical Predictors of Testicular Torsion in Patients with Acute Scrotum; a Cross-Sectional Study. Arch Acad Emerg Med. 2022; 10(1): e9. DOI: 10.22037/aaem.v10i1.1484

10. Zhang K, Zhang Y, Chao M. Clinical characteristics and identification of risk factors of testicular torsion in children: A retrospective study in a single institution. Front Surg. 2022; 9: 1040487. DOI: 10.3389/fsurg.2022.1040487 [DOI:10.3389/fsurg.2022.1040487]

11. Feng S, Yang H, Lou Y, Ru W, Wang A, Liu W. Clinical Characteristics of Testicular Torsion and Identification of Predictors of Testicular Salvage in Children: A Retrospective Study in a Single Institution. Urol Int. 2020; 104(11-12): 878. DOI: 10.1159/000506236 [DOI:10.1159/000506236]

12. Sazgar M, Behbohaninia M, Assadi T, Rezaimehr B, Mousavi J, Aminiahidashti H. Causes and Symptoms of Acute Scrotal Pain in Patients Presenting to Emergency Departments in Mazandaran, Iran 2011-2016. J Mazandaran Univ Med Sci. 2020; 30(188): 132-7. [Persian] URL: http://jmums.mazums.ac.ir/article-1-15119-en.html

13. Zvizdic Z, Aganovic A, Milisic E, Jonuzi A, Zvizdic D, Vranic S. Duration of symptoms is the only predictor of testicular salvage following testicular torsion in children: A case-control study. Am J Emerg Med. 2021; 41: 197-200. DOI: 10.1016/j.ajem.2020.11.023 [DOI:10.1016/j.ajem.2020.11.023]

14. Mukendi AM, Kruger D, Haffejee M. Characteristics and management of testicular torsion in patients admitted to the Urology Department at Chris Hani Baragwanath Academic Hospital.Afr J Urol. 2020; 26(1): 34. DOI: 10.1186/s12301-020-00044-7 [DOI:10.1186/s12301-020-00044-7]

15. Shafi H, Rafati Rahimzadeh M, Rafieian N, Ali Ramaji A, Bijani A. Diagnostic Value of Ultrasonography and Laparoscopy in Undescended Testes. J Babol Univ Med Sci. 2012; 14 (3) :73-9. [Persian] URL: http://jbums.org/article-1-4095-en.html