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Summary
Testicular torsion is uncommon in men over 30. Early diagnosis is crucial for testicular preservation, as delayed treatment often leads to orchiectomy in these rare cases.
Area of Science:
- Urology
- Andrology
- Emergency Medicine
Background:
- Testicular torsion is a surgical emergency.
- Torsion is rare in men over 30, with limited case data.
- Delayed diagnosis impacts testicular viability.
Purpose of the Study:
- To review documented cases of testicular torsion in men over 30.
- To identify diagnostic challenges and treatment outcomes.
- To emphasize the importance of early consideration for testicular salvage.
Main Methods:
- Critical review of 8 documented cases.
- Analysis of initial presentation, diagnostic delays, and treatment outcomes.
- Retrospective case series evaluation.
Main Results:
- Most cases (over 30 years old) were initially misdiagnosed.
- Significant delays in diagnosis and treatment were common.
- Orchiectomy was frequently required due to delayed intervention.
Conclusions:
- Testicular torsion must be considered in the differential diagnosis for scrotal pain in older men.
- Prompt evaluation and surgical intervention are essential for testicular preservation.
- Awareness can improve outcomes and reduce the need for orchiectomy.