Management and Nursing Interventions in Testicular Torsion: Early Diagnosis and Timely Surgical Intervention
Sanytan Ghazy Al Otaibi 1, Ahmad Ayad M Αναζι 1, Talal Muhammad Nahis Bin Barrak 1, Khaled Abdul Rahman Suleiman Al-Rashudi 1, Abdulelah Ibrahim Alqhoson 1, Abdullah Ali Alshahrani 1, Tariq Abdulaziz Alfaleh 1, Saud Fatem Alotaibi 1, Areej Obaid Aldosari 1, Barakat Shumailan Alazmiy 1, Anoud Saud Alanizi 1, khaled Ramadan matar Al-zahrani 1, Hassan Duairam Thawab Al-Shahrani 1
Journal of Angiotherapy 8(10) 1-9 https://doi.org/10.25163/angiotherapy.81010069
Submitted: 13 August 2024 Revised: 26 October 2024 Published: 27 October 2024
Abstract
Background: Testicular torsion is a critical urological emergency characterized by sudden scrotal pain, swelling, and ischemia. It predominantly affects adolescents and requires urgent intervention to preserve testicular function and fertility. Delays in diagnosis or treatment significantly increase the risk of testicular necrosis, necessitating orchiectomy. Timely identification and surgical management are essential for optimal outcomes. Methods: A comprehensive review of current diagnostic and therapeutic approaches was conducted, emphasizing the role of Doppler ultrasound, TWIST scoring, and manual detorsion. Nursing interventions were analyzed to highlight their impact on patient outcomes, including pre-operative preparation, pain management, and post-operative care. Results: Prompt recognition and surgical intervention within six hours significantly improved testicular salvage rates. Doppler ultrasound emerged as the gold standard for diagnosis, with manual detorsion serving as a temporary measure in inconclusive cases. Nurses played a critical role in triage, stabilization, and patient education, ensuring rapid surgical preparation and post-operative recovery. Effective nursing care also reduced complications, including infection and psychological distress. Conclusion: Early diagnosis, rapid surgical intervention, and comprehensive nursing care are pivotal in managing testicular torsion. Educating patients and healthcare providers on symptom recognition is essential to minimize delays. Advancements in diagnostic and therapeutic techniques, coupled with efficient nursing practices, have greatly improved patient outcomes, emphasizing the need for ongoing awareness and education to ensure timely intervention and optimal recovery.
Keywords: Testicular torsion, Nursing Interventions, Diagnosis, Surgical Management, Fertility Preservation
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