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

Volume 31, Issue 2 (July 2024) JBUMS 2024, 31(2): 172-181 | Back to browse issues page

Research code: پایان‌نامه ۷۲۴۱۳۳۶۱۲

Ethics code: IR.MUBABOL.REC.1401.012

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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. JBUMS 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: (106 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] (53 Downloads)

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