Abstract

Testicular torsion refers to the torsion of the spermatic cord structures and subsequent loss of the blood supply to the ipsilateral testicle. This is a surgical emergency; early diagnosis and treatment are vital to save the testicle and preserving future fertility.1 The rate of testicular viability decreases significantly after 6 hours from onset of symptoms.2 Testicular torsion is primarily a disease of adolescents and neonates. It is the most common cause of testicular loss in these age groups. However, torsion may occasionally occur in men 40-50 years old.3 Aim of the study is to know the clinical presentation, management of diagnosed cases of testicular torsion. Methodology: An prospective observational study done in 13 cases diagnosed to have Testicular Torsion from January 2023 to August 2023 in the Department of General Surgery, Sri Venkateswara Medical College, Tirupati. History, clinical examination findings, investigations, management and complications were noted in the proforma and the results were analyzed for the study purpose. Results: In the present study majority of the cases were in the age group of 31-40 years. All cases had scrotal pain and cases with delayed presentation had fever and swelling. Only 2 cases presented before a day and 54% cases presented between 1- 3 days and 31% of cases presented more than 3 days. Conclusion: Testicular torsion is a acute surgical emergency and needs immediate intervention to prevent loss of testis and fertility. So all acute scrotal conditions should be considered as torsion and should be evaluated by USG Doppler to rule out torsion. Orchidopexy of the contra lateral testis is needed to prevent torsion in the contra lateral side.

Description