Testicular salvageability and its predictors among patients with testicular torsion in a resource limited setting: a multicentre longitudinal study
Abstract Introduction Testicular torsion refers to ischemia of the testicle due to twisting or rotation of the vessels supplying the testes. It is a urologic emergency requiring a high index of clinical suspicion and prompt surgical intervention with management aimed at avoiding testicular loss and...
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| Format: | Article |
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BMC
2023-08-01
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| Series: | BMC Surgery |
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| Online Access: | https://doi.org/10.1186/s12893-023-02118-z |
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| author | Mohamed Abdullahi Mohamed Demoz Abraha Anthoney Ayotunde Olasinde Ahmed Kiswezi Selamo Fabrice Molen Joshua Muhumuza Herman Lule |
| author_facet | Mohamed Abdullahi Mohamed Demoz Abraha Anthoney Ayotunde Olasinde Ahmed Kiswezi Selamo Fabrice Molen Joshua Muhumuza Herman Lule |
| author_sort | Mohamed Abdullahi Mohamed |
| collection | DOAJ |
| description | Abstract Introduction Testicular torsion refers to ischemia of the testicle due to twisting or rotation of the vessels supplying the testes. It is a urologic emergency requiring a high index of clinical suspicion and prompt surgical intervention with management aimed at avoiding testicular loss and resulting infertility. This paper gives an update on the current situation regarding this topic in low-income settings. The aim of this study was to determine testicular salvageability and its predictors amongst patients with testicular torsion at two tertiary African hospitals. Methods This was a hospital-based multicentre longitudinal study at two tertiary hospitals in western Uganda. Patients with acute scrotum were enrolled and evaluated for testicular torsion. Those with confirmed testicular torsion underwent surgery and salvageability was reported as the primary outcome. Predictors for testicular salvageability were determined using backward binary logistic regression in SPSS version 22. Results During the study period, 232 patients with acute scrotum were enrolled. The mean age was 35.3 (SD = 20.4) years. Forty-one (17.7%) patients had testicular torsion. Only 16 (39.0%) of patients with torsion had viable testes that were salvageable. Orchiectomy was performed on 25 patients (61.0%). At multivariate analysis, a patient who presented after 48 h from the onset of symptoms was 34.833 times more likely to have orchiectomy compared to one who presented within 12 h [AOR = 34.833, (95% CI = 5.020-60.711), P < 0.001]. Conclusion In this study, the testicular salvage rate was low. The only predictor of salvageability was the time from the onset of symptoms to presentation. All males should be sensitized about the clinical features of testicular torsion to ensure early presentation to increase salvage rates. |
| first_indexed | 2024-03-10T22:23:30Z |
| format | Article |
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| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-03-10T22:23:30Z |
| publishDate | 2023-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-af71ef792ffd47d38acaac3970ed4c872023-11-19T12:12:47ZengBMCBMC Surgery1471-24822023-08-012311710.1186/s12893-023-02118-zTesticular salvageability and its predictors among patients with testicular torsion in a resource limited setting: a multicentre longitudinal studyMohamed Abdullahi Mohamed0Demoz Abraha1Anthoney Ayotunde Olasinde2Ahmed Kiswezi3Selamo Fabrice Molen4Joshua Muhumuza5Herman Lule6Faculty of Clinical Medicine and Dentistry, Department of Surgery, Kampala International University Western CampusFaculty of Clinical Medicine and Dentistry, Department of Surgery, Kampala International University Western CampusFaculty of Clinical Medicine and Dentistry, Department of Surgery, Kampala International University Western CampusFaculty of Clinical Medicine and Dentistry, Department of Surgery, Kampala International University Western CampusFaculty of Clinical Medicine and Dentistry, Department of Surgery, Kampala International University Western CampusFaculty of Clinical Medicine and Dentistry, Department of Surgery, Kampala International University Western CampusInjury Epidemiology and Prevention Research Group, Division of Clinical Neurosciences, University of TurkuAbstract Introduction Testicular torsion refers to ischemia of the testicle due to twisting or rotation of the vessels supplying the testes. It is a urologic emergency requiring a high index of clinical suspicion and prompt surgical intervention with management aimed at avoiding testicular loss and resulting infertility. This paper gives an update on the current situation regarding this topic in low-income settings. The aim of this study was to determine testicular salvageability and its predictors amongst patients with testicular torsion at two tertiary African hospitals. Methods This was a hospital-based multicentre longitudinal study at two tertiary hospitals in western Uganda. Patients with acute scrotum were enrolled and evaluated for testicular torsion. Those with confirmed testicular torsion underwent surgery and salvageability was reported as the primary outcome. Predictors for testicular salvageability were determined using backward binary logistic regression in SPSS version 22. Results During the study period, 232 patients with acute scrotum were enrolled. The mean age was 35.3 (SD = 20.4) years. Forty-one (17.7%) patients had testicular torsion. Only 16 (39.0%) of patients with torsion had viable testes that were salvageable. Orchiectomy was performed on 25 patients (61.0%). At multivariate analysis, a patient who presented after 48 h from the onset of symptoms was 34.833 times more likely to have orchiectomy compared to one who presented within 12 h [AOR = 34.833, (95% CI = 5.020-60.711), P < 0.001]. Conclusion In this study, the testicular salvage rate was low. The only predictor of salvageability was the time from the onset of symptoms to presentation. All males should be sensitized about the clinical features of testicular torsion to ensure early presentation to increase salvage rates.https://doi.org/10.1186/s12893-023-02118-zTesticular torsionSalvageabilityResource limited settingUganda |
| spellingShingle | Mohamed Abdullahi Mohamed Demoz Abraha Anthoney Ayotunde Olasinde Ahmed Kiswezi Selamo Fabrice Molen Joshua Muhumuza Herman Lule Testicular salvageability and its predictors among patients with testicular torsion in a resource limited setting: a multicentre longitudinal study BMC Surgery Testicular torsion Salvageability Resource limited setting Uganda |
| title | Testicular salvageability and its predictors among patients with testicular torsion in a resource limited setting: a multicentre longitudinal study |
| title_full | Testicular salvageability and its predictors among patients with testicular torsion in a resource limited setting: a multicentre longitudinal study |
| title_fullStr | Testicular salvageability and its predictors among patients with testicular torsion in a resource limited setting: a multicentre longitudinal study |
| title_full_unstemmed | Testicular salvageability and its predictors among patients with testicular torsion in a resource limited setting: a multicentre longitudinal study |
| title_short | Testicular salvageability and its predictors among patients with testicular torsion in a resource limited setting: a multicentre longitudinal study |
| title_sort | testicular salvageability and its predictors among patients with testicular torsion in a resource limited setting a multicentre longitudinal study |
| topic | Testicular torsion Salvageability Resource limited setting Uganda |
| url | https://doi.org/10.1186/s12893-023-02118-z |
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