Torsion of spermatic cord and testicular appendages

Bourne, Hal H.; Lee, Richard

doi:10.1016/0090-4295(75)90307-6

Cited by 23 publications

(4 citation statements)

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“…In our study, 32 of the 46 patients received were treated in less than an hour. This result is consistent with those of Sarr et al in Dakar and Artus et al [7] who received 30 and 34 patients respectively. This result could be explained by the application of the predictive clinical score (TWIST) to the usefulness of performing an exploratory scrototomy quoted from 1 to 7 [8].…”

Section: Discussionsupporting

confidence: 93%

Torsion of the Spermatic Cord in Adults: Epidemiological, Diagnostic and Therapeutic Aspects Observed in 46 Patients at the Bouake Teaching Hospital

Akassimadou,

Avion,

Aguia

et al. 2023

OJU

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Introduction: Torsion of the spermatic cord (TSC) is a serious surgical emergency because it is responsible for acute ischemia that can lead to the loss of the testicle. Very few studies have been carried out in Côte d'Ivoire and particularly in Bouaké, on torsion of the testicle. The general objective of this work was to describe the epidemiological, diagnostic and therapeutic aspects of testicular torsion in our context. Materials and Methods: This is a retrospective study on 46 patients received urgently at the Teaching Hospital of Bouaké over a period of nine (9) years from December 01, 2010 to November 30, 2019 for torsion of the spermatic cord in adults. Results: The mean age of patients was 26.6 years with extremes of 17 to 41 years. 33 patients were seen before the sixth hour and 13 beyond. Scrotal pain, swelling of the hemibursa and testicular ascent were the dominant physical signs. Orchiectomy + contralateral testicular fixation was performed in 11 patients (23.9%). The average length of hospital stay was three (3) days. The immediate post-operative follow-up was simple. Late complications were marked by two testicular atrophy. Conclusion: Our series was marked by a high rate of orchiectomy. Actions to raise caregivers' awareness of the population must be carried out so that they consult quickly in front of any painful stock market board to avoid the delay in diagnosis and management detrimental to the vitality of the torsional testicle.

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Section: Discussionsupporting

confidence: 93%

Torsion of the Spermatic Cord in Adults: Epidemiological, Diagnostic and Therapeutic Aspects Observed in 46 Patients at the Bouake Teaching Hospital

Akassimadou,

Avion,

Aguia

et al. 2023

OJU

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“…The possibility that similar cases are included in some reports without being mentioned in the title or in the abstract, and thus preventing a thorough bibliographical search, is substantiated by eight such instances which were incidental findings during our bibliographic research (2,4,7,12,13,21,30,33).…”

Section: Our Casuisticsmentioning

confidence: 89%

Spermatic Cord Torsion After Testicular Fixation - A Different Surgical Approach and a Revision of Current Techniques -

Gesino

Santos²

2001

Eur J Pediatr Surg

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We present a technique for testicular fixation, based on the development of a new anatomical structure formed exclusively by the visceral and the parietal tunica vaginalis; our pre-clinical experience with this technique performed in guinea pigs and a clinical casuistic of 100 operations in 69 patients (age range: newborns to 25 years, mean 101.43 months) where the principal indications were unilateral torsion, testicular descent and contralateral fixation after orchiectomy. Postoperative follow-up ranged between 4 months and 204 months with a mean of 14.304 months. At their final follow-up, all patients presented normal testicular size, shape, consistency, sensitivity, mobility and intrascrotal position; no patient complained of symptoms related to the operation. The discussion also includes 48 cases of failed testicular fixation which were performed with sutures, vaginal adhesions or dartos-pouch techniques, as reported by 30 different authors. Ages of patients at the primary operation ranged from 3 years to 34 years (mean 14.381 years), at the secondary operation from 10 years to 40 years (mean 19.298 years) and the interval between them ranged from 5 days to 27 years (mean 53.773 months). The causes of the failures, which led us to consider them as unreliable, were absorption of cicatricial tissue, serosal regeneration and loosening of sutures. The sequelae included testicular atrophies, orchiectomies and severely damaged testicles.

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“…There are 20 reported cases of testicular torsion occurring in patients who have had the testicle fixed at operation for a previous torsion episode 2–15 . Further case reports detail torsion occurring in testes that have undergone orchidopexy for mal descent but as this is a less common and more technically diverse procedure we have not included this in our review.…”

Section: Case Reportsmentioning

confidence: 99%

Recurrent torsion after previous testicular fixation

Sells

Moretti

Burfield

2002

ANZ Journal of Surgery

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The higher incidence of recurrent torsion after fixation using absorbable rather than non-absorbable sutures in the literature may be caused by a greater number of fixations being carried out using absorbable suture. Use of non-absorbable suture is limited by the high rate of abscess formation. The most important factor for adhesion formation would appear to be the eversion of the tunica vaginalis and it is recommended that this is carried out at all testicular fixations.

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Torsion of spermatic cord and testicular appendages

Cited by 23 publications

References 4 publications

Torsion of the Spermatic Cord in Adults: Epidemiological, Diagnostic and Therapeutic Aspects Observed in 46 Patients at the Bouake Teaching Hospital

Torsion of the Spermatic Cord in Adults: Epidemiological, Diagnostic and Therapeutic Aspects Observed in 46 Patients at the Bouake Teaching Hospital

Spermatic Cord Torsion After Testicular Fixation - A Different Surgical Approach and a Revision of Current Techniques -

Recurrent torsion after previous testicular fixation

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