Torsion of the spermatic cord in adults:a multicenter experience in adults with surgical exploration for acute scrotal pain with suspected testicular torsion

作     者：Van Thi Dang Benjamin Pradere Anne Mauger de Varennes Nadia Ali Benali Maxime Vallee William Berchiche Bastien Gondran-Tellier Gaelle Margue Clement Michiels Charles Gaillard Tristan Grevez Florian Bardet Maud Hulin Anthony Manuguerra Ugo Pinar Caroline Plassais Margeux Felber William Wandoren Kévin Kaulanjan Ines Dominique Marc Sbizerra Emilien Seizilles de Mazancourt Xavier Matillon Igor Duquesne Maxime Chabenes Victor Gallard Lucas Freton Francois Lannes Zine-Eddine Khene 

作者机构：Department of UrologyToulouse University HospitalToulouse 31000France Department of UrologyMedical University of ViennaVienna 1090Austria Department of UrologyRennes University HospitalRennes 35000France Department of UrologyPoitiers University HospitalPoitiers 86000France Department of UrologyMarseille North HospitalMarseille 13000France Department of UrologyBordeaux University HospitalBordeaux 33000France Department of UrologyTours University HospitalTours 37000France Department of UrologyDijon University HospitalDijon 21o00France Department of UrologyReims University HospitalReims 5i000France Department of UrologyNancy University HospitalNancy 54000France Department of UrologyHopitaux Universitaires Pitie-SalpetriereAP-HPParis 75013France Department of UrologyPointe a Pitre University HospitalGuadeloupe 97000France Department of UrologyLyon University HospitalLyon 69000France Department of UrologyCochin HospitalAP-HPParis 75000France Department of UrologyGrenoble University HospitalGrenoble 38000France Department of UrologyStrasbourg University HospitalStrasbourg 67000France 

出 版 物：《Asian Journal of Andrology》 (亚洲男性学杂志（英文版）)

年 卷 期：2022年第24卷第6期

页      面：575-578页

核心收录：

学科分类：1002[医学-临床医学] 10[医学] 

主　　题：adults diagnosis exploration scrotal emergencies spermatic cord torsion ultrasonography 

摘      要：Acute scrotal pain(AsP)requiring surgical exploration is common in the pediatric population,but little has been reported on this subject with regard to the adult population.The aim of this study was to investigate the demographic and clinical characteristics and outcomes of scrotal explorations performed on adult patients.Patients over 21 years of age who underwent surgical exploration for ASP with suspected testicular torsion(TT)at 14 French hospitals between January 2005 and December 2019 were included in this study.The main outcome measures were demographic characteristics,pathology found during scrotal exploration,and perioperative outcomes.Logistic regression was used to perform univariate and multivariate analyses to identify predictors of TT.Data for 1329 men were analyzed.The median age was 30(interquartile range[IQR]:25-35;range:21-89)years.Regarding the clinical examination,867(65.2%)patients presented with an elevation of the testicle,613(46.1%)patients with scrotal edema or erythema,and 211(15.9%)patients with nausea or vomiting.Operative findings identified TT in only 684(51.5%)patients,epididymo-orchitis in 112(8.4%)patients,a tumor in 16(1.2%)patients,and no causes in 475(35.7%)patients.Orchiectomy for nonviable testes was required in 101(7.6%)patients.In multivariate analysis,an elevation of the testicle,erythema/swelling,and the presence of nausea/vomiting were found to be associated with the occurrence of TT.Testicular torsion is not exclusive to children and adolescents,so must be considered in males of any age with acute scrotal findings.However,one-third of scrotal explorations in adults did not lead to a diagnosis.