Testicular Torsion Evaluation by ultraSonography Technic Imaging

N/ANot Yet RecruitingNCT07133243

Centre Hospitalier de Roubaix50 enrolled

Overview

The goal of this observational study is to assess the diagnostic concordance between testicular Doppler ultrasound of the spermatic cord vessels performed by an emergency physician and the diagnosis of testicular torsion made by the urologist during an exploration in the operating room (Gold standard) in men patients between 16 to 70 years old with suspicion of testicular torsion. Participants will receive ultrasound performed by emergency physician during their visit to the emergency department. Results of this exam will be compare to gold standard. If the results are consistent, the investigators will have demonstrated the value of integrating ultrasound by the emergency physician into the management of testicular torsion.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Testicular Torsion

Interventions

testicular ultrasoundOTHER

each patient will receive an testicular ultrasound to confirm diagnostic of testicular torsion

Eligibility

Medical Language ↔ Plain English

Inclusion Criteria: * Male patients * Minimum age of 16 years and maximum age of 70 years * Presenting with unilateral testicular pain lasting less than 72 hours * Admitted to the Roubaix Hospital Emergency * Presence of an emergency physician trained in performing testicular ultrasound during the transition to the Emergency unit * Patient who did not object to participating in the study Exclusion Criteria: * Recent history (less than one month) of ipsilateral testicular torsion, testicular trauma, or testicular surgery * Patient with a history of sex reassignment, currently undergoing sex reassignment, or taking sex reassignment hormones * Innate or acquired absence of one of the two testicles within the scrotum * Patient who has already been included once in the TESTI study

Outcomes

Primary Outcomes

Number of patient with diagnostic of testicular torsion

Concordance between testicular ultrasound and chirurgical diagnostic of testicular torsion

Time frame: At enrollement

Secondary Outcomes

Identify predictive factors for diasgnosis of testicular torsion

Describe the predictive factors for the diagnosis of testicular torsion by multimodal regression including demographic data, clinical signs and complementary lab results.

Time frame: At enrollement

Epidemiological factors of testicular pain

Describe the epidemiological factors of testicular pain based on age and antedecents

Time frame: At enrollement

Doppler result concordance between emergency physician and radiologist

Compare the results between testicular ultrasound performed by an emergency physician and the same ultrasound performed by a radiologist

Time frame: From enrollement to 48 hours

Characterised patients who benefit ultrasound from a radiologist according to final diagnostic

Simple description of the demographic, epidemiological and clinical characteristics of patients who benefited from an ultrasound at 48 hours by a radiologist according to the final diagnosis retained

Time frame: From enrollement to 48 hours

Testicular Torsion Evaluation by ultraSonography Technic Imaging

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Secondary Outcomes

Central Contacts