Author(s)

Thierno Mamadou Oury Diallo^1*, Mamadou Bissiriou Bah¹, Mamadou Diawo Bah¹, Boris Amougou², Daouda Kanté¹, Alimou Diallo¹, Demba Cissé¹, Abdoul Haqq Bah L’Imam¹, Mamadou Dian Oury Diallo¹, Abdoulaye Bobo Diallo¹, Oumar Raphiou Bah¹

¹Faculty of Health Sciences and Techniques, Gamal Abdel Nasser University of Conakry, Conakry, Guinea.
²Faculty of Medicine and Pharmaceutical Sciences, University of Dschang, Dschang, Cameroon.

Introduction: Torsion of the spermatic cord is an emergency whose delay in treatment conditions the functional prognosis of the testicle. The aim of this study was to analyze the management of spermatic cord torsion in the Urology Andrology Department of the Ignace Deen National Hospital in Conakry. Material and methods: This was a ten-year retrospective descriptive study from January 1, 2012 to December 31, 2021. It involved all patients admitted for torsion of the spermatic cord, confirmed at surgical exploration. Results: We identified 21 cases of torsion of the spermatic cord. The mean age of the patients was 17.9 ± 4.4 years. The average consultation time was 19.2 ± 21.4 hours with extremes of [2 h and 98 h]. Only 6 patients (28.6%) consulted before the sixth hour. All patients presented with scrotal swelling. At scrototomy, all torsions were intravaginal with two turns of spiral in 13 cases and three turns in 8 cases. Orchiectomy followed by contralateral orchidopexy was performed in 6 cases. In the other cases, bilateral orchidopexy was performed after detorsion. The average hospital stay was 4.5 days. We recorded 4 cases of testicular atrophy after orchidopexy. Conclusion: Spermatic cord torsion is an infrequent emergency in our department. The delay in consultation remains the main predictive factor of testicular necrosis. Emergency exploratory scrotomy should be the rule.

Spermatic Cord Torsion, Delay in Consultation, Orchidopexy, Orchiectomy, Testicular Atrophy

Diallo, T. , Bah, M. , Bah, M. , Amougou, B. , Kanté, D. , Diallo, A. , Cissé, D. , L’Imam, A. , Diallo, M. , Diallo, A. and Bah, O. (2023) Management of the Torsion of Spermatic Cord in the Urology-Andrology Department of the Ignace Deen National Hospital in Conakry. Open Journal of Urology, 13, 399-406. doi: 10.4236/oju.2023.1310046.