دورية أكاديمية
[Management of testicular torsion by a general surgeon isolated in Africa].
| العنوان: | [Management of testicular torsion by a general surgeon isolated in Africa]. |
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| عنوان ترانسليتريتد: | Prise en charge de la torsion du testicule par un chirurgien généraliste isolé en Afrique. |
| المؤلفون: | Long-Depaquit T; Service d'urologie, Hôpital d'instruction des armées Sainte-Anne, 2 boulevard Sainte Anne, BP 600, 83000 Toulon, France., Chiron P; Service d'urologie, Hôpital d'instruction des armées Bégin, 69 avenue de Paris, 94160 Saint-Mandé, France., Bourgouin S; Service de chirurgie viscérale, Hôpital d'instruction des armées Sainte-Anne, 2 boulevard Sainte Anne, BP 600, 83000 Toulon, France., Hardy J; Service d'urologie, Hôpital d'instruction des armées Sainte-Anne, 2 boulevard Sainte Anne, BP 600, 83000 Toulon, France., Deledalle FX; Service d'urologie, Hôpital d'instruction des armées Sainte-Anne, 2 boulevard Sainte Anne, BP 600, 83000 Toulon, France., Laroche J; Service d'urologie, Hôpital d'instruction des armées Sainte-Anne, 2 boulevard Sainte Anne, BP 600, 83000 Toulon, France., Molimard B; Service d'urologie, Hôpital d'instruction des armées Sainte-Anne, 2 boulevard Sainte Anne, BP 600, 83000 Toulon, France., Savoie PH; Service d'urologie, Hôpital d'instruction des armées Sainte-Anne, 2 boulevard Sainte Anne, BP 600, 83000 Toulon, France. |
| المصدر: | Medecine tropicale et sante internationale [Med Trop Sante Int] 2022 Apr 04; Vol. 2 (2). Date of Electronic Publication: 2022 Apr 04 (Print Publication: 2022). |
| نوع المنشور: | Journal Article |
| اللغة: | French |
| بيانات الدورية: | Publisher: Société francophone de médecine tropicale et santé internationale Country of Publication: France NLM ID: 9918227363206676 Publication Model: eCollection Cited Medium: Internet ISSN: 2778-2034 (Electronic) Linking ISSN: 27782034 NLM ISO Abbreviation: Med Trop Sante Int Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: [Paris] : Société francophone de médecine tropicale et santé internationale, [2021]- |
| مواضيع طبية MeSH: | Spermatic Cord Torsion*/diagnosis , Surgeons*, Africa/epidemiology ; Humans ; Male ; Orchiectomy ; Testis/diagnostic imaging |
| مستخلص: | The onset of sudden and intense scrotal pain exposes to several problems when it occurs in a young man in Africa. Among the possible etiologies, testicular torsion is the surgical emergency to rule out, because beyond 6 hours of evolution the functional prognosis of the testicle is concerned. The septic evolution towards a purulent melting, in case of exceeded torsion, is also possible. Of slightly lower incidence than in Western countries, lack of awareness of this pathology by local health actors, the precariousness or health isolation of certain populations in certain under-medicalized regions, contribute to diagnostic and therapeutic delays. This often leads to a pejorative development, loss of the testicle being directly correlated with the delay in treatment. Testicular torsion has thus been identified as one of the main causes of male infertility in Africa. However, clinical diagnosis and surgical treatment require few resources and remain accessible in an environment with low resources or in precarious conditions. Indeed, despite the contribution of ultrasound in certain situations, the clinical picture is at the center of the diagnosis and therapeutic decision making. At the slightest doubt, surgical exploration is necessary. The multi-tunic anatomy of the testicle facilitates its surgical fixation in the event of conservation, ideally by triangulation of single-strand non-absorbable thread. Simultaneous fixation of the contralateral testicle is currently the subject of debate in the literature. In Africa, the benefit/risk balance, taking into account in particular the difficulty of subsequent access to care, justifies, from our point of view, performing contralateral orchidopexy at the same time. Depending on the appearance of the testicle and, to a lesser extent, the duration of the evolution of the symptoms, orchidectomy may be necessary. This article describes the clinical picture of spermatic cord torsion and the orchidopexy technique. (Copyright © 2022 SFMTSI.) |
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| فهرسة مساهمة: | Keywords: Africa; Health isolation; Orchidectomy; Orchidopexy; Testicular torsion |
| تواريخ الأحداث: | Date Created: 20220610 Date Completed: 20220613 Latest Revision: 20220718 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC9128443 |
| DOI: | 10.48327/mtsi.v2i2.2022.230 |
| PMID: | 35685303 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2778-2034 |
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| DOI: | 10.48327/mtsi.v2i2.2022.230 |