Dismal salvage of testicular torsion: A call to action!

Dismal salvage of testicular torsion: A call to action!

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Background: Testicular ischaemia and infarction in cases of torsion depend on the duration and degree of twisting.Early evaluation and treatment are associated with high salvage reports.Objective: To determine the salvage rates of testicular torsion in selected hospitals at the Coast Province of Kenya Design: A retrospective study of patients managed for testicular torsion and related conditions between 1999 and 2011.Setting: Coast Province General Hospital, Mombasa (1999 - 2008) and Moi District Hospital, Voi (2009 - 2011).Patients and Methods: Case records of 44 patients were reviewed.

Forty two underwent scrotal explorations while two patients with bilateral tes-ticular loss due to torsion had no surgery.Patients were reviewed for age, operative Floor Lamp diagnoses, testicular salvage, surgical procedures performed and recurrence of symptoms.Results: Of 29 patients operated for acute testicular torsion, four had viable testes (salvage rate of 14%).Seven patients had bilateral orchido-pexy for intermittent testicular torsion.Three patients who had missed torsions with resultant total testicular atrophy, had orchidopexy of the contralateral testes.

At scrotal exploration 2 patients with epididymor-chitis and one patient with a torsion of appendix testis that was excised, were not subjected to orchidopexy.There was no occurrence of torsion after orchidopexy.Conclusion: Testicular torsions were associated with low salvage rates.Increased public awareness coupled with clinician, parental, teacher, teenage and adult male Ski de fond - Homme - Vetements - Manteau education with respect to the consequences of acute scrotal pain is warranted.