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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.

Références

  1. Hunter J (1810) A treatise on the venereal disease. London

  2. Della-Negra E, Martin M, Bernardini S, Bittard H (2000) Les torsions du cordon spermatique chez l’adulte. Prog Urol 10:265–270

    PubMed  CAS  Google Scholar 

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

    Article  CAS  Google Scholar 

  4. Sarr A, Fall B, Mouss B, et al (2010) Aspects diagnostiques et thérapeutiques de la torsion du cordon spermatique au CHU Aristide-Le-Dantec de Dakar. Andrologie 20:203–208

    Article  Google Scholar 

  5. Audonet F, Roupêt M (2010) Les torsions du cordon spermatique: aspect du diagnostic clinique et principes thérapeutiques. Prog Urol 20:810–814

    Article  Google Scholar 

  6. Witherington R, Jarrell TS (1990) Torsion of the spermatic cord in adults. J Urol 143:62–63

    PubMed  CAS  Google Scholar 

  7. Sauvat F, Hennequin S, Ait Ali Slimane M, Gauthier F (2002) Un âge pour la torsion testiculaire ? Arch Pediatr 9:1226–1229

    Article  PubMed  CAS  Google Scholar 

  8. Aubert D, Valiouli I (1999) Torsion du cordon spermatique. Rev Prat 1:327–331

    Google Scholar 

  9. Lee LM, Wright JE, McLoughlin MG (1983) Testicular torsion in the adult. J Urol 130:93–94

    PubMed  CAS  Google Scholar 

  10. 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 

  11. Udeh FN (1985) Testicular torsion: a Nigerian experience. J Urol 134:482

    PubMed  CAS  Google Scholar 

  12. Bah OR, Roupret M, Guirassy S, et al (2010) Aspects cliniques et thérapeutiques de la torsion du cordon spermatique: étude de 27 cas. Prog Urol 20:527–531

    Article  PubMed  CAS  Google Scholar 

  13. Ringdahl E, Teague L (2006) Testicular Torsion. Am Fam Physician 74:1739–1743

    PubMed  Google Scholar 

  14. Mansbach JM, Forbes P, Peters C (2005) Testicular torsion and risk factors for orchiectomy. Arch Pediatr Adolesc Med 159:1167–1171

    Article  PubMed  Google Scholar 

  15. Williamson RC (1976) Torsion of the testis and allied conditions. Brit J Surg 63:465–476

    Article  PubMed  CAS  Google Scholar 

  16. Melekos MD, Asbach HW, Markou SA (1988) Etiology of acute scrotum in 100 boys with regard to age distribution. J Urol 139:1023–1025

    PubMed  CAS  Google Scholar 

  17. Ali Rizvi SA, Ahmad I, Siddiqui MA, et al (2011) Role of color doppler ultrasonography in evaluation of scrotal swellings pattern of disease in 120 patients with review of literature. Urol J 8:60–65

    Google Scholar 

  18. Baker LA, Sigman D, Mathews RI, et al (2000) An analysis of clinical outcomes using color doppler testicular ultrasound for testicular torsion. Pediatrics 105:604–607

    Article  PubMed  CAS  Google Scholar 

  19. Bayne PA, Madden-Fuentes RJ, Jones EA, et al (2010) Factors associated with delayed treatment of acute testicular torsion - Do demographic or interhospital transfer matter? J Urol 184:1743–1747

    Article  PubMed  Google Scholar 

  20. Bartsch G, Frank S, Marberger H, Mikuz G (1980) Testicular torsion: late results with special regards to fertility and endocrine function. J Urol 124:375–378

    PubMed  CAS  Google Scholar 

  21. Sessions AE, Rabinowitz R, Hulbert WC, et al (2003) Testicular torsion: direction, degree, duration and disinformation. J Urol 169:663–665

    Article  PubMed  Google Scholar 

  22. Taskinen S, Taskinen M, Rintala R (2008) Testicular torsion: orchidectomy or orchidopexy? J Pedriatr Chir 4:210–213

    Google Scholar 

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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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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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Basic and Clinical Andrology

ISSN: 2051-4190