A Rare Emergency: Testicular Torsion in the Inguinal Canal. (14th January 2015)

• Record Type: Journal Article
• Authors: Şener, Nevzat Can; Bas, Okan; Karakoyunlu, Nihat; Ercil, Hakan; Yesil, Suleyman; Zengin, Kursad; Imamoglu, Abdurrahim
• Other Names: Saito Seiichi Academic Editor.
• Is Part Of: BioMed research international. Volume 2015(2015)
• Publication Date: 2015-01-14
• Subjects: Medicine -- Periodicals; Biology -- Periodicals; Biotechnology -- Periodicals; Life sciences -- Periodicals; 610.5
• DOI: 10.1155/2015/320780
• Languages: English
• ISSNs: 2314-6133

Abstract

Abstract : Objectives . To report our experience and present the largest series of testicular torsion cases in the inguinal canal. Material and Methods . The clinical data of 13 patients with testicular torsion in the inguinal canal treated between 2005 and 2013 were reviewed. Recorded patient age, whether the testes were palpable or not, side of the affected testes, the presence of hernia, ischemia time, and operation outcomes were assessed. Results . Patient age ranged from 8 to 70 months (29.15 ± 20.22). Mean ischemia time was 16.5 ± 21.3 hours. Accompanying inguinal hernia was present in 92% of the cases (12/13). Four of the thirteen patients (30.8%) were treated by orchiectomy because the necrosis was present after prolonged ischemia time. Nine patients (69.2%) were treated by single session orchidopexy. Conclusion . Torsion of testes in the inguinal canal is a rare disease, but with rapid diagnosis, affected testes can be salvaged, but the key factor is to keep this condition in mind.