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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Acute scrotum in Nigeria: An 18-year review
Tropical Doctor, Volume 34, No. 1, Year 2004
Notification
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Description
One hundred and seventy-eight patients presenting with an acute scrotum during a period of 18 years (1978–1997) were reviewed retrospectively. Fifty per cent had testicular torsion, with a mean age of 23 years (range 3 weeks-55 years). Torsion was significantly more common in the cold harmattan season (October-early March). The salvage rate of torted testes was 52%. Ingui-noscrotal hernia was the cause of testicular infarction in 10% and is an important contributor to male infertility. Twelve per cent of cases of suspected torsion were found to have epididymo-orchitis, at exploration. Twenty-three (13%) patients presented with scrotal gangrene (Fournier's gangrene) which did not result in testicular loss. There was significant morbidity following intervention by non-doctors, and misdiagnosis from unsuspecting physicians. The acute scrotum affecting young patients is a significant cause of male infertility and morbidity in Zaria. Early recognition, prompt treatment and re-education of those who may provide the first line care for such patients will reduce the morbidity and pathologic consequences following neglect. © 2004, SAGE Publications. All rights reserved.
Authors & Co-Authors
Mbibu, N. H.
Nigeria, Zaria
Ahmadu Bello University
Maitama, Hussaini Yusuf
Nigeria, Zaria
Ahmadu Bello University
Ameh, Emmanuel A.
Nigeria, Zaria
Ahmadu Bello University
Khalid, Lawal M.
Nigeria, Zaria
Ahmadu Bello University
Adams, Lawan M.
Nigeria, Zaria
Ahmadu Bello University
Statistics
Citations: 14
Authors: 5
Affiliations: 1
Identifiers
Doi:
10.1177/004947550403400117
ISSN:
00494755
e-ISSN:
17581133
Research Areas
Sexual And Reproductive Health
Violence And Injury
Study Design
Randomised Control Trial
Study Locations
Nigeria
Participants Gender
Male