Author(s)

Yoro Diallo^*, Johanitha Lionnelle Elonme Alissoutin, Saint Charles Kouka, Modou Diop N’diaye, Mehdi Daher, Ramatoulaye Ly, Cheikh Diop, Seydou Diaw, Cheickna Sylla

Department of Urology, Faculty of Health Sciences, University of Thies, Thies, Senegal.

Introduction: The purpose of this work is to evaluate the epidemiological, clinical and therapeutic aspects of spermatic cord in our context. Patients and Methods: This is a retrospective study over a period of 4 years from January 1, 2014 to June 30, 2018. Results: We collected 55 cases divided into 26 cases, 44.27% for the Thies Regional Hospital, 21% or 38.18% for the Mbour EPS and 8 cases representing 14.55% for the Saint Jean de Dieu Hospital. We found an average age of 20.03 years with extremes of 4 years and 56 years. In 28 patients or 50% of cases, we found no particular pathological history, while in 4 patients or 7.14%, we found a notion of recurrent ipsilateral testicular pain. We recorded 67.27% (n = 37) of the cases received for testicular pain; 15 patients or 27.27% presented a large painful pouch. Two patients (3.64%) were received for inguinal swelling and 1 patient (1.82%) presented testicular atrophy. The average consultation time is 16.9 hours with extremes of 2 hours and 96 hours. The torsion was in 59.61% of cases (n = 32) located on the right versus 40.38% (n = 22) on the left. There was no bilateral form. The pick-up time was 3 hours with extremes of 1 h to 24 h. All patients benefited from an exploratory scrotomy. We found a total of 22 patients or 40% of cases with ischemic testis, 8 cases or 14.55% of patients with necrotic testis and 2 cases or 3.64% where the testis was normal. Orchidopexy was performed in 46 patients or 83.63% and orchiectomy in 9 patients. Conclusion: Care is urgent. There is a need for better awareness of the population and the medical staff for the early diagnosis.

Spermatic Cord Torsion, Young Subject, Exploratory Scrotomy, Orchiectomy

Diallo, Y. , Elonme Alissoutin, J. , Kouka, S. , N’diaye, M. , Daher, M. , Ly, R. , Diop, C. , Diaw, S. and Sylla, C. (2019) Torsion of the Spermatic Cord: Clinical and Therapeutic Aspects in the Region of Thies (Senegal). Advances in Reproductive Sciences, 7, 60-70. doi: 10.4236/arsci.2019.73008.