Prevalence and Management of Spermatic Cord Torsion (SCT): A Five-Year Review in Souro Sanou University Hospital of Bobo-Dioulasso (Burkina Faso).

IF 2 Q2 UROLOGY & NEPHROLOGY

Research and Reports in Urology Pub Date : 2023-01-01 DOI:10.2147/RRU.S419786

Adama Ouattara, Abdoul-Karim Paré, Delphine Yé, Mamadou Z Traoré, Mohamed Simporé, Mickael Rouamba, F Aristide Kaboré, Timothée Kambou

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Abstract

Introduction: Spermatic cord torsion (SCT) is a rare urological emergency that can jeopardize the fertility of the patient. Our study aimed to investigate the epidemiological, diagnostic and therapeutic aspects of SCT in Souro Sanou University Teaching Hospital.

Materials and methods: This was a descriptive cross-sectional study with retrospective data collection from January 1, 2017, to December 31, 2021, in the emergency surgical and urology division of Souro Sanou University Hospital.

Results: The annual frequency of SCT was 4.4 patients/year. The mean age of the patients was 17.82 ± 6.74 years. Painful swelling of the hemi-scrotum was the main presenting symptom. The torsion involved the left spermatic cord in 50% of cases and both spermatic cords in 5% of cases. The mean time of symptoms before presentation was 78.8 hours ± 153 hours. Only 27.3% of patients presented before the 6th hour after the onset of pain. The average time from presentation to surgical intervention was 5.6 hours ± 5 hours. Orchiectomy was performed in 11 patients (47.8%). The average hospital stay was 3.1 ± 1.4 days.

Conclusion: SCT is a rare urological emergency. The prognosis depends on the duration and degree of torsion. A high orchidectomy rate can be observed with a delay in presentation.

Abstract Image

查看原文本刊更多论文

精索扭转(SCT)的流行和处理:布基纳法索博博-迪乌拉索苏罗萨努大学医院的五年回顾。

简介:精索扭转(SCT)是一种罕见的泌尿科急症，可危及患者的生育能力。本研究旨在了解南萨努大学附属医院SCT的流行病学、诊断和治疗方面的情况。材料和方法:本研究是一项描述性横断面研究，回顾性收集2017年1月1日至2021年12月31日苏罗萨努大学医院急诊外科和泌尿外科的数据。结果:SCT年频次为4.4例/年。患者平均年龄17.82±6.74岁。半阴囊肿胀疼痛是主要的症状。50%的病例发生左精索扭转，5%的病例发生双精索扭转。出现症状前的平均时间为78.8小时±153小时。只有27.3%的患者在疼痛发作后6小时前出现。从首发到手术干预的平均时间为5.6小时±5小时。11例患者行睾丸切除术(47.8%)。平均住院时间3.1±1.4 d。结论:SCT是一种罕见的泌尿外科急症。预后取决于扭转的持续时间和程度。高的睾丸切除术率可以观察到延迟的表现。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Research and Reports in Urology UROLOGY & NEPHROLOGY-

CiteScore

3.40

自引率

0.00%

发文量

审稿时长

16 weeks

期刊介绍： Research and Reports in Urology is an international, peer-reviewed, open access, online journal. Publishing original research, reports, editorials, reviews and commentaries on all aspects of adult and pediatric urology in the clinic and laboratory including the following topics: Pathology, pathophysiology of urological disease Investigation and treatment of urological disease Pharmacology of drugs used for the treatment of urological disease Although the main focus of the journal is to publish research and clinical results in humans; preclinical, animal and in vitro studies will be published where they will shed light on disease processes and potential new therapies. Issues of patient safety and quality of care will also be considered.