Advances in Reproductive Sciences

Volume 7, Issue 3 (August 2019)

ISSN Print: 2330-0744   ISSN Online: 2330-0752

Google-based Impact Factor: 0.33  Citations  

Torsion of the Spermatic Cord: Clinical and Therapeutic Aspects in the Region of Thies (Senegal)

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DOI: 10.4236/arsci.2019.73008    856 Downloads   2,006 Views  

ABSTRACT

Introduction: The purpose of this work is to evaluate the epidemiological, clinical and therapeutic aspects of spermatic cord in our context. Patients and Methods: This is a retrospective study over a period of 4 years from January 1, 2014 to June 30, 2018. Results: We collected 55 cases divided into 26 cases, 44.27% for the Thies Regional Hospital, 21% or 38.18% for the Mbour EPS and 8 cases representing 14.55% for the Saint Jean de Dieu Hospital. We found an average age of 20.03 years with extremes of 4 years and 56 years. In 28 patients or 50% of cases, we found no particular pathological history, while in 4 patients or 7.14%, we found a notion of recurrent ipsilateral testicular pain. We recorded 67.27% (n = 37) of the cases received for testicular pain; 15 patients or 27.27% presented a large painful pouch. Two patients (3.64%) were received for inguinal swelling and 1 patient (1.82%) presented testicular atrophy. The average consultation time is 16.9 hours with extremes of 2 hours and 96 hours. The torsion was in 59.61% of cases (n = 32) located on the right versus 40.38% (n = 22) on the left. There was no bilateral form. The pick-up time was 3 hours with extremes of 1 h to 24 h. All patients benefited from an exploratory scrotomy. We found a total of 22 patients or 40% of cases with ischemic testis, 8 cases or 14.55% of patients with necrotic testis and 2 cases or 3.64% where the testis was normal. Orchidopexy was performed in 46 patients or 83.63% and orchiectomy in 9 patients. Conclusion: Care is urgent. There is a need for better awareness of the population and the medical staff for the early diagnosis.

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Diallo, Y. , Elonme Alissoutin, J. , Kouka, S. , N’diaye, M. , Daher, M. , Ly, R. , Diop, C. , Diaw, S. and Sylla, C. (2019) Torsion of the Spermatic Cord: Clinical and Therapeutic Aspects in the Region of Thies (Senegal). Advances in Reproductive Sciences, 7, 60-70. doi: 10.4236/arsci.2019.73008.

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