{"id":4999,"date":"2024-01-06T12:02:10","date_gmt":"2024-01-06T12:02:10","guid":{"rendered":"https:\/\/afiyafrica.com\/?p=4999"},"modified":"2024-01-06T12:02:10","modified_gmt":"2024-01-06T12:02:10","slug":"la-torsion-testiculaire-en-afrique-sub-saharienne","status":"publish","type":"post","link":"https:\/\/afiyafrica.com\/index.php\/focus\/la-torsion-testiculaire-en-afrique-sub-saharienne\/","title":{"rendered":"La torsion testiculaire en Afrique sub-saharienne"},"content":{"rendered":"
\n
\n \t<\/i> Read Time:<\/span>2 Minute, 18 Second <\/div>\n\n <\/div>

Saleh Abdelkerim Nedjim1*, MarcellaD.C.Biyouma2, Mahamat Ali Mahamat1, Arthur Douglas3,
\nOrgeness Jasper Mbwambo4, Mohamed Mbarouk4, Remadji Yanhdet Herve5, Mahamane Salissou6,
\nMessian Gallouo7, Aboubacar Traore8, ZIBA Ouima Justin Dieudonne5, Yannick Joel Djoua9, Ugbede Oyibo10, Kimassoum Rimtebaye1, Choua Ouchemi1 et Fru Fobuzshi AngwaforIII11<\/p>\n

 <\/p>\n

R\u00e9sum\u00e9<\/p>\n

 <\/p>\n

La torsion testiculaire est une urgence chirurgicale caus\u00e9e par la rotation du p\u00e9dicule vasculaire du testicule autour de son axe. En l’absence de traitement, une n\u00e9crose testiculaire peut s’installer, n\u00e9cessitant une orchidectomie et la perte du testicule. Les auteurs de cet article ont pass\u00e9 en revue les articles sur la torsion testiculaire publi\u00e9s en Afrique subsaharienne.<\/p>\n

L’objectif de ce travail est d’\u00e9tablir le profil du patient, le d\u00e9lai de consultation et le nombre d’orchidectomies.
\nLe but de ce travail est d’\u00e9tablir le profil des patients, le d\u00e9lai de consultation et le taux d’orchidectomie dans le contexte subsaharien.<\/p>\n

Les donn\u00e9es de cette \u00e9tude seront compar\u00e9es avec d’importantes s\u00e9ries et revues non subsahariennes. Vingt-trois articles ont \u00e9t\u00e9 s\u00e9lectionn\u00e9s pour examen. Tous ces articles ont \u00e9t\u00e9 publi\u00e9s entre 1985 et 2022. Au total, 1 410 patients ont \u00e9t\u00e9 inclus dans l’\u00e9tude.<\/p>\n

L’\u00e2ge moyen \u00e9tait de 19,7 ans. La majorit\u00e9 des patients venaient de zones urbaines. Les facteurs de risque de torsion ont \u00e9t\u00e9 identifi\u00e9s dans 9 publications.<\/p>\n

Le mode d’admission \u00e0 l’h\u00f4pital
\nLe mode d’admission \u00e0 l’h\u00f4pital \u00e9tait variable. La douleur scrotale aigu\u00eb \u00e9tait la principale symptomatologie rapport\u00e9e.<\/p>\n

Le temps moyen entre l’apparition des sympt\u00f4mes et la consultation \u00e9tait de 52,5 h. Le c\u00f4t\u00e9 gauche \u00e9tait atteint dans 46,04 % des cas et le c\u00f4t\u00e9 droit dans 49,81 % des cas.<\/p>\n

Quatre auteurs ont fait \u00e9tat d’une orientation vers un centre de sant\u00e9 et huit auteurs ont fait \u00e9tat d’une \u00e9chographie scrotale.<\/p>\n

Le taux d’orchidectomie pratiqu\u00e9e a \u00e9t\u00e9 trouv\u00e9 dans 21 publications, le taux moyen pour l’ensemble de la revue \u00e9tant de 46,4 %.<\/p>\n

Le taux d’orchidectomie \u00e9tait de 52,4 % dans les \u00e9tudes qui rapportaient une orientation initiale vers un centre de sant\u00e9 (transfert du patient), contre 36,9 % dans les \u00e9tudes qui n’en faisaient pas \u00e9tat.<\/p>\n

Dans les \u00e9tudes faisant \u00e9tat d’une \u00e9chographie, le taux d’orchidectomie \u00e9tait de 52,5 %, contre 36,9 % dans les \u00e9tudes ne rapportant pas d’\u00e9chographie.<\/p>\n

Sur la base de ces r\u00e9sultats, nous pouvons formuler les recommandations suivantes
\nrecommandations et actions suivantes :\u00a0 poursuivre l’\u00e9tude de cette pathologie dans les pays subsahariens ;\u00a0 sensibiliser la population \u00e0 cette pathologie ;\u00a0 am\u00e9liorer la qualit\u00e9 des soins ; \u00a0 former et recycler les agents communautaires et les gestionnaires de centres de sant\u00e9 ; et\u00a0 former les m\u00e9decins g\u00e9n\u00e9ralistes et les chirurgiens.
\n\u00e0 la scrototomie, l’orchidopexie et l’orchidectomie d’urgence.<\/p>\n

 <\/p>\n

Mots-cl\u00e9s : Douleur scrotale aigu\u00eb, Torsion testiculaire, Chirurgie d’urgence, Orchidectomie, Afrique subsaharienne.<\/p>\n

 <\/p>\n

*Correspondance :
\nSalehAbdelkerimNedjim nedjimsaleh@gmail.com<\/p>\n

 <\/p>\n

Lire la totalit\u00e9 de l’article ici : Testicular torsion in SSA<\/a><\/p>\n

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