Prevalencia de torsión testicular en pacientes con síndrome escrotal agudo menores de 17 años del Hospital IEES Los Ceibos periodo 2018 – 2021.

Abstract

Introduction: Acute scrotum is considered an urgent clinical condition, defined by testicular pain of a few hours of evolution, requires an early diagnosis to confirm or rule out the existence of testicular torsion, which represents approximately 25% of cases of acute scrotum. . It is estimated that 65% of cases affect children between the ages of 12 and 18. The present study, by identifying the prevalence of testicular torsion, will help to establish it in order to be treated in time. Materials and methods: The research work corresponds to an observational, retrospective, cross-sectional and analytical descriptive methodological design. The population of this study are patients under 17 years of age with acute scrotal syndrome at the IESS Los Ceibos Hospital for the 2018-2021 period. Results: Testicular torsion is the most frequent cause with 62.3% of cases, followed by orchitis and epididymitis. with 28.3%. It was identified that adolescents (n=17; 51.5%) had more cases and the entire sample presented scrotal pain, followed by scrotal edema (n=27; 87.8%). The left testicle was more affected (n=20; 60.6%) than the right (n=13; 39.4%) and the most used treatment was right orchidopexy (n=16; 48.5%). Conclusions: In the present study it was determined that testicular torsion is the most frequent cause in patients with acute scrotal syndrome with a prevalence of 62.2% and must be operated immediately due to compromised testicular viability.