Evidence map›Paper›PMID 37605257›Full record

ArticleBMC surgery2023

Testicular salvageability and its predictors among patients with testicular torsion in a resource limited setting: a multicentre longitudinal study.

Mohamed Abdullahi Mohamed, Demoz Abraha, Anthoney Ayotunde Olasinde, Ahmed Kiswezi, Selamo Fabrice Molen, Joshua Muhumuza, Herman Lule

Open access · goldAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.6field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Testicular Salvage Rate among Patients with Testicular Torsion in Abuja, Nigeria.Nigerian medical journal : journal of the Nigeria Medical Association
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Mohamed Abdullahi MohamedFaculty of Clinical Medicine and Dentistry, Department of Surgery, Kampala International University Western Campus, PO. Box 70, Ishaka-Bushenyi, Uganda. abuhafsamarid@gmail.com.
Demoz AbrahaFaculty of Clinical Medicine and Dentistry, Department of Surgery, Kampala International University Western Campus, PO. Box 70, Ishaka-Bushenyi, Uganda.
Anthoney Ayotunde OlasindeFaculty of Clinical Medicine and Dentistry, Department of Surgery, Kampala International University Western Campus, PO. Box 70, Ishaka-Bushenyi, Uganda.
Ahmed KisweziFaculty of Clinical Medicine and Dentistry, Department of Surgery, Kampala International University Western Campus, PO. Box 70, Ishaka-Bushenyi, Uganda.
Selamo Fabrice MolenFaculty of Clinical Medicine and Dentistry, Department of Surgery, Kampala International University Western Campus, PO. Box 70, Ishaka-Bushenyi, Uganda.
Joshua MuhumuzaFaculty of Clinical Medicine and Dentistry, Department of Surgery, Kampala International University Western Campus, PO. Box 70, Ishaka-Bushenyi, Uganda. joshuablessed7@gmail.com.
Herman LuleInjury Epidemiology and Prevention Research Group, Division of Clinical Neurosciences, University of Turku, Turku, Finland.
Kampala International University · UGUniversity of Turku · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTesticular torsion refers to ischemia of the testicle due to twisting or rotation of the vessels supplying the testes. It is a urologic emergency requiring a high index of clinical suspicion and prompt surgical intervention with management aimed at avoiding testicular loss and resulting infertility. This paper gives an update on the current situation regarding this topic in low-income settings. The aim of this study was to determine testicular salvageability and its predictors amongst patients with testicular torsion at two tertiary African hospitals.

methodsThis was a hospital-based multicentre longitudinal study at two tertiary hospitals in western Uganda. Patients with acute scrotum were enrolled and evaluated for testicular torsion. Those with confirmed testicular torsion underwent surgery and salvageability was reported as the primary outcome. Predictors for testicular salvageability were determined using backward binary logistic regression in SPSS version 22.

resultsDuring the study period, 232 patients with acute scrotum were enrolled. The mean age was 35.3 (SD = 20.4) years. Forty-one (17.7%) patients had testicular torsion. Only 16 (39.0%) of patients with torsion had viable testes that were salvageable. Orchiectomy was performed on 25 patients (61.0%). At multivariate analysis, a patient who presented after 48 h from the onset of symptoms was 34.833 times more likely to have orchiectomy compared to one who presented within 12 h [AOR = 34.833, (95% CI = 5.020-60.711), P < 0.001].

conclusionIn this study, the testicular salvage rate was low. The only predictor of salvageability was the time from the onset of symptoms to presentation. All males should be sensitized about the clinical features of testicular torsion to ensure early presentation to increase salvage rates.

Indexed as

Spermatic Cord TorsionTestisAdultHumansLongitudinal StudiesMaleOrchiectomyTertiary Care CentersResource limited settingSalvageabilityTesticular torsionUganda

Identifiers

PMID37605257
PMCPMC10441739
OpenAlexW4386022994

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.