Retrospective review of testicular torsion – Ten years experience in Cathay General Hospital



'''Purpose:'''  Testicular torsion is an emergency in Urology. It is also one of the leading causes of medicolegal problem. We would like to review retrospectively our cases in the past ten years in order to remind and make an alert in the future in the diagnosis and treatment of testicular torsion.      

'''Materials and Methods:'''  From 2005 to 2015, total 14 patients were diagnosed testicular torsion in the past ten years. The range of age is from 6 years old to 23 years old, mainly teenagers. All patients received exploration after diagnosis.      

'''Results:'''  In our series, total seven patients received orchiopexy. Unfortunately, total seven patients received orchiectomy. Delay in diagnosis is the main reason of leading to orchiectomy. We would like to investigate how to approach correct diagnosis and the time period from diagnosis to operation. At the same time, we would like to discuss the patients' and the families' factors.      

'''Conclusion:'''  Early diagnosis and prompt surgical correction are the key to treat testicular torsion successfully. Public education is most important. The first line doctors should also be keen on eye to avoid patients' suffering.