Objective: 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.
orchidectomy, urological emergency, terticular torsion
C Tydeman, K Davenport, D Glancy. Suspected testicular torsion – urological or general surgical emergency. Ann R Coll Surg Engl. 2010; 92: 710–2.
Lrhorfi H, Manunta A, Rodriguez H, Lobel B. Trauma-induced testicular torsion. J Urol. 2002; 168: 2548.
Somani K, Graham W, Nick T. Testicular torsion. BMJ. 2010; 341: c3213.
Master V. Scrotal emergencies in emergencies in urology. Springer; 2007. p. 134-5.
Barthold JS. Abnormalities of the testis and scrotum and their surgical management. Campbell-Walsh Urology: Elsevier; 2012. p. 3569-70.
Jefferson and colleagues 1997. Pediatric urology. Campbell Walsh Urology, 10th ed. 2012; 3590.
Anonymous. Definition: 'Bell Clapper Deformity'. UK; Bexhill-on-Sea; 2006 [cited 2015 May 14]. Available from: http://www.medilexicon.com/medicaldictionary.php?t=23246.
Stavros A, Rapp C, McGrath J. Color duplex sonography of acute scrotal pain. In: Bluth EI, Arger PH, Benson CB, Ralls PW, Siegel MJ, editors. Ultrasound: A practical approach to clinical problems. New York: Thieme; 2000. p. 135-52.
Seng YJ, Moissinac K. Trauma induced testicular torsion: A reminder for the unwary. J Accid Emerg Med. 2000; 17: 381-2.
Cummings JM, Boullier JA, Sekhon D, Bose K. Adult testicular torsion. J Urol. 2002; 167: 2109-10.
Johnston JW, Larsen P, El Haddawi F, Fancourt MW, Farrant GJ. Time delays in presentation and treatment of acute scrotal pain in a provincial hospital. ANZ J Surg; 2015. p. 330-3.