Testicular Torsion Evaluation by ultraSonography Technic Imaging

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexMale
Age16-70
SponsorCentre Hospitalier de Roubaix

About this trial

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.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

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

Disqualifiers

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

Trial population

Population will be selected from male (from 16 to 70) presenting testicular pain in emergency unit of Roubaix's hospital

Trial design

Design model

Case-only

Time perspective

Prospective

Treatments tested in this trial

  • testicular ultrasound

    Other intervention

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

Treatment groups

50 Participants
are divided into 1 treatment group
Group A: single arm1 intervention

Trial outcomes

Primary outcomes

1

Number of patient with diagnostic of testicular torsion

Concordance between testicular ultrasound and chirurgical diagnostic of testicular torsion

Time frame
At enrollement

Secondary outcomes

1

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
2

Epidemiological factors of testicular pain

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

Time frame
At enrollement
3

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
4

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

Other outcomes

Sponsors and contacts

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