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Clinical Findings of Patients Undergone Surgery for Testicular Torsion: A 12-Year Single Center Experience in Northern Iran

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Open Journal of Urology 2014年第5期4卷 63-69页

作者： Hamid Shafi amin zarghami Arsalan Aliramaji Maryam Rahimi Clinical Research Developing Center Babol University of Medical Science Babol Iran Department of Urology Babol University of Medical Science Babol Iran Student Research Committee Babol University of Medical Sciences Babol Iran

Introduction: Testicular torsion is a surgical emergency which requires early diagnosis and prompt surgical management to avoid testicular damage. The aim of this study is to survey the clinical findings and outcome of the patients treated for testicular torsion in a university hospital in Babol, northern Iran. Methods: In this cross sectional study, a retrospective survey of all cases presenting with acute scrotum and primarily diagnosed as testicular torsion was conducted during 2001 and 2012 in Babol, northern Iran. All 103 cases were reviewed and several clinical data, including duration of symptoms and operative findings were collected. Findings: Of 103 patients who presented to the emergency department with acute scrotum, the median age of the cases was 16.0 years. Thirty four percent of the patients presented emergency unit less than 6 hours from symptom exposure. Pain (95.1%) was the major symptom in all patients. Surgery revealed that 72 (70.9%) cases were diagnosed firmly as testicular torsion that 23 patients underwent orchidectomy for a necrotic torsed testis. There were significant differences between orchiectomized versus non-orchiectomized torsion cases in affected side, symptom presentation to operation time. Conclusion: According to our results more than half of the cases presented more than in the golden time. Late presentation to hospital was the major cause of delay leading to orchidectomy in patients with testicular torsion. Greater effort in health education and direct or selfreferal to hospital may reduce this delay.

关键词： Testicular Torsion Orchidectomy Orchiopexy

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Assessment of Urine Analysis Diagnostic Role: A Cross-Sectional Study in South Eastern of Iran

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Open Journal of Urology 2012年第4期2卷 227-231页

作者： Mohsen R. Chenari Shahram Gooran amin zarghami Faramarz Fazeli Department of Urology Zahedan University of Medical Sciences Zahedan Iran Student Research Committee Babol University of Medical Sciences Babol Iran Student Research Committee Zahedan University of Medical Sciences Zahedan Iran Urology Research Center Sina Hospital Tehran University of Medical Sciences Tehran Iran

Introduction: Testing for the presence of micro-organisms in the urinary tract, in order to diagnose asymptomatic bacteriuria or symptomatic urinary tract infections (UTI), is very common at all levels of health care. This study was conducted to assess the diagnostic values for bacteriuria and pyuria and evaluate their roles in therapeutic decision making. Methods: A total of 1770 urine samples were obtained by simple randomized method from the central Laboratory of the Ali-ebne-Abitaleb Hospital (Zahedan, Iran). Urine culture was done to compare urine microscopy profiles. Sensitivity, specificity, positive and negative predictive values of the findings of urine analysis was described. Results: 1055 (59.6%) of the cases were females. 13% (230/1770) of patients had positive urine cultures. The most prevalent cultured micro-organism was E. coli (63%). Sensitivity, specificity, positive and negative predictive values of microscopic pyuria were 85%, 88%, 51%, 97%, respectively. As the same for bacteriuria, these calculations were 97%, 98%, 90%, 99% and for the category with both bacteriuria and pyuria were 82%, 99%, 95%, 97%, respectively. Conclusion: According to the results, it is concluded that the urine microscopy features seems to be useful to exclude the presence of infection if the results of both bacteriuria and pyuria are negative, but positive test results have to be confirmed.

关键词： Urinary Tract Infection Bacteriuria Pyuria

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Assessment of Urine Analysis Diagnostic Role: A Cross-Sectional Study in South Eastern of Iran

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Open Journal of Urology（泌尿学期刊） 2012年第4期

作者： Mohsen R. Chenari Shahram Gooran amin zarghami Faramarz Fazeli Student Research Committee Zahedan University of Medical Sciences Urology Research Center Sina Hospital Tehran University of Medical Sciences Student Research Committee Babol University of Medical Sciences Department of Urology Zahedan University of Medical Sciences

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