TESTICULAR TORSION: CAUSATIVE FACTOR IN DELAYED MANAGEMENT
Abstract: Analyzing the
factors causing delays in the management of patients with testicular torsion in
Dr. Cipto Mangunkusumo General Hospital Jakarta. Material & methods: This
research is a retrospective research using questionnaire from patients as
primary data and from Dr. Cipto Mangunkusumo General Hospital medical records
or urologic reports as secondary data from 1st January 2011 to 30th April 2015.
Results: 4 patients diagnosed with left testicular torsion admitted to hospital
with >4 hours onset (as a prehospital factor). 3 of 4 patients were adult,
who came with left testicle pain. The minimum VAS score perceived is 2. 3 of 4
patients had 540o medial left testicle rotation intraoperatively while all
patients left testicles were unvital. Conclusion: Further examination is
required to diagnose testicular torsion in adult-geriatric. Non-specific
complaints, such as lower abdominal pain or painful testicles and mild pain in
scrotum were some of the most important
factors, thus causing delays in testicular torsion management. However, a
comprehensive education to all health workers, especially for doctors is still
required, because the complaints of pain in patients with testicular torsion
does not always appear acutely. This becomes important for early identification
of patients with testicular torsion, in order to prevent delay in management.
Keywords: orchidectomy;
urological emergency; terticular torsion
Author: Fatan Abshari, Irfan
Wahyudi, Arry Rodjani
Journal Code: jpkedokterangg180003
