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Les torsions du cordon spermatique chez l’adulte au CHU Yalgado Ouédraogo de Ouagadougou

Torsion of the spermatic cord in adults at Yalgado-Ouédraogo teaching hospital of Ouagadougou

Basic and Clinical Andrology volume 21, pages 254–259 (2011)Cite this article

Résumé

Objectif

Étudier les aspects épidémiologique, diagnostique et thérapeutique de la torsion du cordon spermatique (TCS) chez des sujets adultes de plus de 15 ans.

Matériel et méthodes

Étude rétrospective descriptive du 1er janvier 2004 au 30 juin 2010 menée dans les services d’urologie et des urgences de chirurgie viscérale du CHU Yalgado-Ouédraogo de Ouagadougou (Burkina Faso). Nous avons colligé 51 dossiers médicaux de tous les patients qui ont été reçus pour suspicion de TCS durant la période d’étude.

Résultats

La TCS était confirmée chez 40 patients (78,4%) à la scrototomie exploratrice. L’âge moyen des patients était de 26 ans (extrêmes de 16 et 55 ans). Le délai moyen de consultation était de 24,6 heures et 84,3 % des patients avaient consulté après la sixième heure. La tuméfaction de l’hémibourse et l’ascension testiculaire étaient les signes physiques dominants. Une orchidectomie a été réalisée chez 22 patients (55 %). Les suites opératoires étaient simples chez tous les patients avec une durée moyenne d’hospitalisation de 4,3 jours (extrêmes de deux et sept jours).

Conclusions

Notre série est marquée par une forte proportion d’orchidectomie. Des actions de sensibilisation des populations doivent être menées afin qu’elles consultent rapidement devant tout tableau de bourse aiguë douloureuse.

Abstract

Objective

To evaluate the epidemiologic, diagnostic and therapeutic features of testicular torsion in adults aged 15 years and older.

Materials and methods

A retrospective study was conducted from January 2004 to June 2010 in the general surgery emergency unit and urology department of the CHU Yalgado-Ouedraogo of Ouagadougou (Burkina Faso). Medical records of 51 patients who were suspected of torsion of spermatic cord were included in this study.

Results

Torsion of spermatic cord was confirmed in 40 patients (78.4%) after scrotal exploration. The average age was 26 years (range 16–55 years). The average duration from the time of onset of pain to arrival at the emergency department was 24.6 hours, and 84.3% of the patients arrived after 6 hours. Hemi-scrotal tumefaction and ascended testicle were the main clinical findings. Orchidectomy was performed in 22 patients (55%). Post-operative findings were good for all patients, and the average hospital stay was 4.3 days (range 2–7 days).

Conclusion

In our study, a high proportion of patients underwent orchidectomy. We suggest that actions must be taken to educate men about testicular pain and to receive timely treatment in case of any testicular pain.

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Authors and Affiliations

  1. 09 BP 1248, Ouagadougou, Burkina Faso

    F. A. Kaboré

  2. Service d’urologie, CHU Yalgado-Ouédraogo de Ouagadougou, 03 BP 7022, Ouagadougou, Burkina Faso

    F. A. Kaboré, B. Zango, C. Yaméogo & B. Kirakoya

  3. Service de chirurgie générale, CHU Yalgado-Ouédraogo de Ouagadougou, 03 BP 7022, Ouagadougou, Burkina Faso

    A. Sanou & S. S. Traoré

Authors
  1. F. A. Kaboré
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  2. B. Zango
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  3. C. Yaméogo
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  4. A. Sanou
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  5. B. Kirakoya
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  6. S. S. Traoré
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Correspondence to F. A. Kaboré.

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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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Kaboré, F.A., Zango, B., Yaméogo, C. et al. Les torsions du cordon spermatique chez l’adulte au CHU Yalgado Ouédraogo de Ouagadougou. Basic Clin. Androl. 21, 254–259 (2011). https://doi.org/10.1007/s12610-011-0151-2

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  • DOI: https://doi.org/10.1007/s12610-011-0151-2

Mots clés

  • Torsion du cordon spermatique
  • Adulte
  • Orchidectomie
  • Orchidopexie
  • Urgence chirurgicale

Keywords

  • Torsion of spermatic cord
  • Adult
  • Orchidectomy
  • Orchidopexy
  • Surgical emergency

Basic and Clinical Andrology

ISSN: 2051-4190