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|Title: ||Testicular Torsion on the Jos Plateau|
|Authors: ||Ugwu, B.T|
|Keywords: ||Early diagnosis,|
Prompt and Effective surgery.
|Issue Date: ||2003|
|Series/Report no.: ||Vol.22;No.2;Pp 120-123|
|Abstract: ||In order to determine the pattern and the factors that influenced outcome, we retrospectively studied fifty-seven patients with torsion of the testis admitted to the Jos University Teaching Hospital between August 1993 and July 2001. The age ranged from 2 to 55 years with a mean of 22.7 years. Majority (79%) of the patients were in the second and third decades of life. The main suspected precipitating factors in this study were cold weather and sectoral trauma; in 28% of the cases no cause could be ascertained. Eight (14%) patients presented within 4 hours and 35(61%) presented after 24 hours of the onset of symptoms. Both sides were equally affected. Testicular pain, retraction and sectoral swelling were the most common presenting complaints. The highest incidence (65%) occurred between November and February when the weather on the Jos plateau is coldest. At surgery, 34 (60%) patients were found to have associated congenital anomalies; in 22 (39%) patients, the testis was non-viable. There was no mortality in this series and the complications were superficial wound infection (14%), testicular atrophy (7%) and sub-fertility (16%). High index of suspicion in a patient with acute scrotum, prompt and effective surgery will improve testicular salvage.|
|Appears in Collections:||Surgery|
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