The value of signs and symptoms in the diagnosis of spermatic cord torsion

The aim of this study is to evaluate the most useful clinical signs and symptoms in the diagnosis of spermatic cord torsion, and so decreasing unnecessary surgical exploration and testicular loss rates for these patients. Between August 2013 and November 2014, patients with suspected spermatic cord torsion were included in this study; patient case sheets were prepared; history, examination, imaging, and post-operative results were recorded. The patients then divided into non-torsion and torsion groups, the torsion group further subdivided into salvaged and orchiectomy groups. Data evaluated and correlated with the result of the surgical exploration. Seventy-seven patients were included, 11 (15%) patients without torsion and 66 (85%) with torsion. Of the torsion group 35 (53%) were salvaged while orchiectomy done to the remaining 31 (47%). The patients' age ranged from 1 to 29 years with a mean of 16.22 years with standard deviation of 6 years, and they commonly presented during winter months, the salvageability rate decline with increase duration of symptoms especially after 24 hours. There were a significant difference (p