research centers


Search results: Found 2

Listing 1 - 2 of 2
Sort by

Article
How to Reduce Time Delays in Presentation and Treatment of Testicular Torsion; the Role of Public and Practitioners Education

Author: Saad Dakhil Farhan Daraji
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2014 Volume: 13 Issue: 4 Pages: 499-503
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

Loading...
Loading...
Abstract

ABSTRACT:BACKGROUND: Testicular torsion (TT) requires prompt diagnosis and treatment to avoid testicular Loss. Most studies have focused on the ideal work up to rule TT out in cases of acute scrotum. A long response time to the scrotal pain was related to high orchidectomy rate during surgery for acute torsion.OBJECTIVE:We attempted here to highlight the causes behind high orchidectomy rate during the surgery for testicular torsion and the advices to decrease this problem.PATIENTS AND METHODS: Surgical exploration which was done for suspected testicular torsion in 50 consecutive males with their age (range 1-20 years. All patients were evaluated with detailed history, physical examination and Basic Laparotory investigations, some patients underwent scrotal ultrasound scan with color-Doppler preoperatively when possible. Patient age, site of pain, duration of symptoms, ultrasound finding, approximate time from admission to surgery, operative findings, and type of the operation and causes of delay for orchidectomy group were recorded.RESULTS: Intra operative Testicular torsion was documented in 36 patients, orchidectomy and orchidopexy was performed equally, Delays to reach the hospital for more than 4 hours after the onset of pain significantly associated with increase the risk of orchidectomy .The risk of orchidectomy significantly increased with increased patient age. Parents neglect appear the most important cause for small age group while self ignorance, social fear and false medical advices for older ages.CONCLUSION: A long response time to the scrotal pain and a high orchidectomy rate were exposed by this study. This was thought to be due to ignorance, which could be eliminated through public education.


Article
Incidence of Orchiectomy in Patients with Testicular Torsion Treated in The Urology Department in Hilla Teaching Hospital

Authors: Wadhah A. Al-marzooqa --- Salam Abd Elameer Yahyab --- Ameer Kadim Alhumairic
Journal: Journal of University of Babylon مجلة جامعة بابل ISSN: 19920652 23128135 Year: 2018 Volume: 26 Issue: 7 Pages: 1-8
Publisher: Babylon University جامعة بابل

Loading...
Loading...
Abstract

Acutetorsionofthetesticle(s)isoneofthecommonemergenciesinthefieldofurology; itresultsineitherdecreaseorcompletedisruptionoftesticularbloodflow,itaffectabout 4.5/100000lessthan25yearsmale.Thegoldenperiodoftesticularsavinginterventionis thefirst6–8hoursfromtheonsetofsymptoms.Theaimofthisstudyistoobtainastatisticaboutpatientswithtesticulartorsiontreated atourcenter,concentratingonpatientsendedwithorchiectomy.Atotalnumberof25patientspresentedtoourcenterduringthestudyperiod(2years).Aftertakingfullhistoryandscrotalexamination,allpatientssenttoDopplerscrotalultrasonographytoconfirmthediagnosisandassessvascularity,andthenallpatientsun-derwent scrotal exploration through a scrotal incision. Orchiopexy or orchiectomywasdonedependingonviabilityofthetestis.Contralateralorchiopexywasdoneinallpatients.Fortypercentofourpatientsendedwithorchiectomy,theincidenceoforchiectomywashigherinpatientslivedinruralareas(70%),therealsowasstrongrelationshipbetweencoldweatherand the incidence of orchiectomy.Themostimportantfactorindetectingtestissalvagebilitywasthedurationofsymptoms beforepresentation.

التواءالخصيةالحاد،حيثتدورالخصيةفجأةفيكيسالصفنممايؤديالىالتواءالأوعيةالدمويةالمجهزةللخصيةمؤديةالىتقليلثممنعتدفقالدمالىالخصيةهوالسببالأكثرشيوعامناسبابظهورالألمالمفاجئفيجانبواحدمنكيسالصفن. تقدرالبحوثأنحوالي4,5لكل100000منالذكوروالذينتقلاعمارهمعن25سنةيعانونمنالتواءالخصيةفيكلالسنة.والهدفمنهذهالدراسةهوالحصولعلىإحصاءاتحولالمرضىالذينيعانونمنالتواءالخصيةوالذينتمعلاجهمفيمركزنا،معالتركيزعلىالمرضىالذينانتهىبهمالعلاجمعاستئصالالخصية.اشتملتالدراسةعلى25مريضممنراجعوشعبةجراحةالمسالكالبوليةفيالمستشفى.بعدأخذالتاريخالمرضيالكاملواجراءفحصكيسالصفن،أرسلجميعالمرضىإلىفحصكيسالصفنبالموجاتفوقالصوتيةالملونةللتأكدمنالتشخيصولتقييمالأوعيةالدموية،وبعدذلكخضعجميعالمرضىلاستكشافكيسالصفنمنخلالشقالصفن. تماجراءعمليةتثبيتاواستئصالالخصيةاعتماداعلىحيويةالخصية. تمإجراءعمليةتثبيتالخصيةالمقابلةفيجميعالمرضى.تماجراءاستئصالالخصيةفي40% منالمرضى،كانمعدلاستئصالالخصيةأعلىفيالمرضىالذينيعيشونفيالمناطق الريفية) 70%)وكانهناكأيضاعلاقةقويةبينالطقسالباردو معدل حدوثاستئصالالخصية.وكانالعاملالأكثرأهميةفيالكشفعنامكانيةانقاذالخصيةهوالمدةالزمنيةبينضهورالأعراضواجراءالعملية

Listing 1 - 2 of 2
Sort by
Narrow your search

Resource type

article (2)


Language

English (2)


Year
From To Submit

2018 (1)

2014 (1)