Evaluation of Acute scrotal pain In Omdurman hospitals using ultrasound September to December 2011

Abstract

This research was conducted to detect the causes and related complications of testicular torsion in Omdurman Hospitals. This study was carried out on 50 patients complaining of acute scrotal pain. They were according to age, complains, occupation, cause, time from the trauma and the ultrasound findings. The Most affected age group was (15-20) years old which accounted for 80%. All patients of testicular torsion present with pain and nausea which constitute 100% the pain is due to ischemia. Some of patients presented with vomiting 20 cases which constituted 40%. 34% of the patients have hanging up testis 17cases, where as 33 cases with normal testicular position which constituted 66%. Sport men are the most group which liable to testicular torsion (30 patients which constituted 60 %). Arrival of the patients to the hospital vary in time some arrive in less than 6 hours and others came later after more than 24 hours from the trauma their number were ten and this explains why the researcher found some of patient's testicles with normal blood flow and others with impaired flow and for those whom presented after 24 hours there was no blood flow. The level of distribution of the blood flow in the testis is normal in 28 Patients which constituted 56%, whereas 12 patients which constituted 24% with impaired blood flow, while 10 patients which constitute 20% with absent blood flow.