Missed Torsion of the testis

Abstract

Thirty patients with a mean age of 21.3 years were referred to the urologist with missed testicular torsion. Twenty four patients first presented to medical doctors, whereas six patients presented to paramedical staff. Only eight patients had their external genitalia examined. All the 30 patients were empirically placed on antibiotics and analgesic therapy on assumption that they had orchitis. Fourteen patients presented to the author with unilateral complete disappearance of the testis (atrophy); seven patients presented with unilateral reduction in testicular size, and another seven presented with both testes disappeared (atrophied) after various episodes of missed acute torsion of testis.