Testicular Torsion
Conditions
Brief summary
The goal of this observational study is to assess the diagnostic concordance between testicular Doppler ultrasound of the spermatic cord vessels performed by an emergency physician and the diagnosis of testicular torsion made by the urologist during an exploration in the operating room (Gold standard) in men patients between 16 to 70 years old with suspicion of testicular torsion. Participants will receive ultrasound performed by emergency physician during their visit to the emergency department. Results of this exam will be compare to gold standard. If the results are consistent, the investigators will have demonstrated the value of integrating ultrasound by the emergency physician into the management of testicular torsion.
Interventions
OTHERtesticular ultrasound
each patient will receive an testicular ultrasound to confirm diagnostic of testicular torsion
Sponsors
Centre Hospitalier de Roubaix
Study design
Observational model
CASE_ONLY
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
MALE
Age
16 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Male patients * Minimum age of 16 years and maximum age of 70 years * Presenting with unilateral testicular pain lasting less than 72 hours * Admitted to the Roubaix Hospital Emergency * Presence of an emergency physician trained in performing testicular ultrasound during the transition to the Emergency unit * Patient who did not object to participating in the study
Exclusion criteria
* Recent history (less than one month) of ipsilateral testicular torsion, testicular trauma, or testicular surgery * Patient with a history of sex reassignment, currently undergoing sex reassignment, or taking sex reassignment hormones * Innate or acquired absence of one of the two testicles within the scrotum * Patient who has already been included once in the TESTI study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of patient with diagnostic of testicular torsion | At enrollement | Concordance between testicular ultrasound and chirurgical diagnostic of testicular torsion |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Identify predictive factors for diasgnosis of testicular torsion | At enrollement | Describe the predictive factors for the diagnosis of testicular torsion by multimodal regression including demographic data, clinical signs and complementary lab results. |
| Epidemiological factors of testicular pain | At enrollement | Describe the epidemiological factors of testicular pain based on age and antedecents |
| Doppler result concordance between emergency physician and radiologist | From enrollement to 48 hours | Compare the results between testicular ultrasound performed by an emergency physician and the same ultrasound performed by a radiologist |
| Characterised patients who benefit ultrasound from a radiologist according to final diagnostic | From enrollement to 48 hours | Simple description of the demographic, epidemiological and clinical characteristics of patients who benefited from an ultrasound at 48 hours by a radiologist according to the final diagnosis retained |
Countries
France
Contacts
Primary ContactDr Perrine LIBERT, Doctor
Outcome results
None listed