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Aspects diagnostiques et thérapeutiques de la torsion du cordon spermatique au CHU Aristide-Le-Dantec de Dakar

Diagnostic and therapeutic features of testicular torsion in CHU Aristide-Le-Dantec, hospital of Dakar

Basic and Clinical Andrology volume 20, pages 203–208 (2010)Cite this article

Résumé

Objectif

Étudier les aspects diagnostiques et thérapeutiques de la torsion du cordon spermatique (TCS) dans notre pratique quotidienne et faire une revue de la littérature.

Patients et méthodes

Étude rétrospective de janvier 2002 à décembre 2009 sur tous les cas de suspicion de TCS reçus en urgence.

Résultats

La TCS était confirmée chez 58 patients après scrototomie exploratrice. L’âge moyen des patients était de 21 ans (avec des extrêmes de 1 et de 44 ans) et 48 patients (83 %) étaient âgés de plus de 15 ans. Le délai moyen entre le début de la symptomatologie douloureuse et l’arrivée aux urgences était de 102 heures (avec des extrêmes de 2 et de 480 heures); 47 patients ont été reçus après la sixième heure et 19 patients ont été référés d’une structure périphérique. La torsion était supravaginale chez cinq sujets âgés de plus de 15 ans et était sanctionnée d’une orchidectomie chez 30 patients (52 %).

Conclusion

Notre série est caractérisée par un taux élevé de castration d’où l’intérêt de mettre l’accent sur la sensibilisation des populations qui doivent venir consulter en urgence devant une grosse bourse douloureuse aiguë.

Abstract

Objective

To study the diagnostic and therapeutic features of testicular torsion in our daily practice, and to compare our results with that of the existing literature.

Patients and methods

A retrospective study was conducted from January 2002 to December 2009 on all patients who presented in emergency with suspicion of testicular torsion.

Results

Testicular torsion was confirmed in 58 patients after scrotal exploration. The average age was 20 years (range, 1–44 years), and 48 patients (83%) were more than 15 years old. The average duration from time of onset of pain to arrival at the emergency department was 102 hours; 47 patients (81%) were received after the sixth hour and 19 (33%) were referred from peripheral health facilities. Torsion was supravaginal in 5 patients, all more than 15 years old; orchidectomy was performed in 30 patients (52%).

Conclusion

In our study, we have a high proportion of orchidectomy. To reduce this, it will be important to sensibilize population to go to the hospital when they have cases of testicular pain and edema.

Références

  1. Aubert D, Valioulis I (1999) Torsion du cordon spermatique. Diagnostic, traitement d’urgence. Rev Prat 49:327–31

    PubMed  CAS  Google Scholar 

  2. Sauvat F, Hennequin S, Ait Ali Slimane M, Gauthier F (2002) Un âge pour la torsion testiculaire ? Arch Pediatr 9:1226–9

    Article  PubMed  CAS  Google Scholar 

  3. Lewis AG, Bukowski TP, Jarvis PD, et al (1995) Evaluation of acute scrotum in the emergency department. J Pediatr Surg 30:277–81

    Article  PubMed  CAS  Google Scholar 

  4. Anderson J, Williamson R (1988) Testicular torsion in Bristol: a 25-year review. Br J Surg 75:988–92

    Article  PubMed  CAS  Google Scholar 

  5. Hodonou R, Soumanou, Kaffo R, Akpo C (1999) La torsion du cordon spermatique (TCS): facteurs étiopathogéniques, diagnostiques et thérapeutiques à propos de 33 cas au CNHU de Cotonou. Med Afr Noire 46:69–74

    Google Scholar 

  6. Della Negra E, Martin M, Bernardini S, Bittard H (2000) Les torsions du cordon spermatique chez l’adulte. Prog Urol 10:265–70

    PubMed  CAS  Google Scholar 

  7. Cummings JM, Boullier JA, Sekhon D, Bose K (2002) Adult testicular torsion. J Urol 167:2109–10

    Article  PubMed  Google Scholar 

  8. Brandt MT, Sheldon CA, Wacksman J, Matthews P (1992) Prenatal testicular torsion: principles of management. J Urol 147:670–2

    PubMed  CAS  Google Scholar 

  9. Sethia KK, Bickerstaff KI, Murie JA (1998) Changing patterns of scrotal exploration for testicular torsion. Urology 31:408–10

    Article  Google Scholar 

  10. Zini L, Mouton D, Leroy X, et al (2003) Faut-il déconseiller l’échographie scrotale en cas de suspicion de torsion du cordon spermatique ? Prog Urol 13:440–4

    PubMed  Google Scholar 

  11. Rabinowitz R (1984) The importance of the cremasteric reflex in acute scrotal swelling in children. J Urol 132:89–90

    PubMed  CAS  Google Scholar 

  12. Van Glabeke E, Khairouni A, Larroquet M, et al (1999) Acute scrotal pain in children: results of 543 surgical explorations. Pediatr Surg Int 15:353–7

    Article  PubMed  Google Scholar 

  13. Melekos MD, Asbach HW, Markou SA (1988) Etiology of acute scrotum in 100 boys with regard to age distribution. J Urol 139(5):1023–5

    PubMed  CAS  Google Scholar 

  14. Kravchick S, Cytron S, Leibovici O, et al (2001) Color doppler sonography: its real role in the evaluation of children with highly suspected testicular torsion. Eur Radiol 11: 1000–5

    Article  PubMed  CAS  Google Scholar 

  15. Baker LA, Sigman D, Mathews RI, et al (2000) An analysis of clinical outcomes using color doppler testicular ultrasound for testicular torsion. Pediatrics 105: 604–7

    Article  PubMed  CAS  Google Scholar 

  16. Mongiat-Artus P (2004) Torsion du cordon spermatique et des annexes testiculaires. Ann Urol 38:25–34

    Article  CAS  Google Scholar 

  17. LaQuaglia MP, Bauer SB, Eraklis A, et al (1987) Bilateral neonatal torsion. J Urol 138:1051–4

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Service d’urologie-andrologie, CHU Aristide-Le-Dantec, avenue Pasteur, BP 35354, Dakar-Colobane, Sénégal

    A. Sarr, B. Fall, B. Mouss, Y. Sow, A. Thiam, B. Diao, P.A. Fall & B.A. Diagne

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  1. A. Sarr
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  2. B. Fall
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  3. B. Mouss
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  4. Y. Sow
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  5. A. Thiam
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  6. B. Diao
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  7. P.A. Fall
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  8. B.A. Diagne
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Correspondence to A. Sarr.

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Open Access This article is published under license to BioMed Central Ltd. This is an Open Access article is distributed under the terms of the Creative Commons Attribution License ( https://creativecommons.org/licenses/by/2.0 ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Sarr, A., Fall, B., Mouss, B. et al. Aspects diagnostiques et thérapeutiques de la torsion du cordon spermatique au CHU Aristide-Le-Dantec de Dakar. Basic Clin. Androl. 20, 203–208 (2010). https://doi.org/10.1007/s12610-010-0083-2

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Basic and Clinical Andrology

ISSN: 2051-4190