Diagnostic value of albumin and symptom duration in acute scrotal pain: testicular torsion vs. epididymo-orchitis

Sarper Sevdimbaş; Salim Satar; Müge Gülen; Selen Acehan; Umut Ünal

doi:10.17826/cumj.1644332

EN TR

Diagnostic value of albumin and symptom duration in acute scrotal pain: testicular torsion vs. epididymo-orchitis

Abstract

Purpose: The aim of this study was to evaluate inflammatory parameters to differentiate between testicular torsion (TT) and epididymo-orchitis in patients presenting to the emergency department with acute scrotal pain. Materials and Methods: The study analyzed 241 adult patients who were presented with acute scrotal pain at a tertiary hospital's ED between January 2012 and December 2023. Results: The cohort comprised 137 patients (56.8%) with epididymo-orchitis and 104 (43.2%) with TT. Median symptom duration was 24 hours (24–48 hours) for epididymo-orchitis cases versus 6 hours (4–10 hours) for torsion cases. Laboratory analysis revealed significantly elevated mean values of monocytes, blood urea nitrogen (BUN), BUN/Albumin ratio (BAR), and Monocyte/Lymphocyte Ratio (MLR) in epididymo-orchitis patients compared to torsion cases, while hemoglobin and albumin levels were significantly lower. As a result of the cox regression analysis revealed that albumin, age and body temperature were independent predictors of the diagnosis. A significant and moderately negative correlation was found between symptom duration and albumin levels. The AUC value of albümin was 0.842 and sensitivity was 80.8% and specificity was 71.5% when the cut-off value was taken as 4.05 mg/dl in the power to predict the presence of testiculer torsion. Conclusion: Albumin level, significantly associated with symptom duration, is a valuable predictor in distinguishing testicular torsion from epididymo-orchitis in patients with acute scrotal pain.

Keywords

Albumin , epididymo-orchitis , inflammation , scrotal pain , testicular torsion.

Akut skrotal ağrıda albüminin ve semptom süresinin tanısal değeri: testis torsiyonu ve epididimo-orşit

Öz

Amaç: Bu çalışmanın amacı acil servise akut skrotal ağrı ile başvuran hastalarda testis torsiyonu (TT) ile epididimo-orşit arasındaki ayrımı yapmak amacıyla inflamatuar parametreleri değerlendirmektir. Gereç ve Yöntem: Çalışmada, Ocak 2012 ile Aralık 2023 arasında üçüncü basamak bir hastanenin acil servisine akut skrotal ağrıyla gelen 241 yetişkin hasta analiz edildi. Bulgular: Kohort, epididimo-orşitli 137 hastadan (%56,8) ve TT'li 104 hastadan (%43,2) oluşuyordu. Epididimo-orşit vakalarında medyan semptom süresi 24 saat (24-48 saat) iken torsiyon vakalarında 6 saat (4-10 saat) idi. Laboratuvar analizlerinde epididimo-orşitli hastalarda torsiyon olgularına göre monosit, kan üre azotu (BUN), BUN/Albümin oranı (BAR) ve monosit/lenfosit oranı (MLR) ortalama değerlerinin anlamlı derecede yüksek olduğu, hemoglobin ve albumin düzeylerinin ise anlamlı derecede düşük olduğu saptandı. Cox regresyon analizi sonucunda albumin, yaş ve vücut sıcaklığının tanının bağımsız öngörücüleri olduğu ortaya çıktı. Semptom süresi ile albumin düzeyleri arasında anlamlı ve orta derecede negatif korelasyon bulundu. Albüminin AUC değeri 0,842 idi ve testiküler torsiyon varlığını tahmin etme gücünde kesme değeri 4,05 mg/dl olarak alındığında duyarlılık %80,8 ve özgüllük %71,5 olarak bulundu. Sonuç: Akut skrotal ağrısı olan hastalarda testis torsiyonunu epididimo-orşitten ayırmada, semptom süresi ile anlamlı ilişki gösteren albumin düzeyi değerli bir belirleyicidir.

Anahtar Kelimeler

Albümin , epididimo-orşit , inflamasyon , skrotal ağrı , testis torsiyonu.

Kaynakça

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Ayrıntılar

Birincil Dil

İngilizce

Konular

Acil Tıp , Üroloji

Bölüm

Araştırma Makalesi

Yazarlar

Sarper Sevdimbaş ^*
0000-0002-0271-9305
Türkiye

Salim Satar
0000-0001-6080-4287
Türkiye

Müge Gülen
0000-0002-5080-3501
Türkiye

Selen Acehan
0000-0003-4390-6593
Türkiye

Umut Ünal
0000-0003-4040-0044
Türkiye

Yayımlanma Tarihi

30 Haziran 2025

Gönderilme Tarihi

21 Şubat 2025

Kabul Tarihi

23 Mayıs 2025

Yayımlandığı Sayı

Yıl 2025 Cilt: 50 Sayı: 2

DOI

https://doi.org/10.17826/cumj.1644332

IZ

https://izlik.org/JA42ZC74DD

MLA

Sevdimbaş, Sarper, vd. “Diagnostic value of albumin and symptom duration in acute scrotal pain: testicular torsion vs. epididymo-orchitis”. Cukurova Medical Journal, c. 50, sy 2, Haziran 2025, ss. 468-77, doi:10.17826/cumj.1644332.

Bu eser Creative Commons Atıf-Gayriticari-Türetilemez 4.0 Uluslararası Lisansı ile lisanslanmıştır.

Diagnostic value of albumin and symptom duration in acute scrotal pain: testicular torsion vs. epididymo-orchitis

Abstract

Keywords

Akut skrotal ağrıda albüminin ve semptom süresinin tanısal değeri: testis torsiyonu ve epididimo-orşit

Öz

Anahtar Kelimeler

Kaynakça

Ayrıntılar

Birincil Dil

Konular

Bölüm

Yazarlar

Yayımlanma Tarihi

Gönderilme Tarihi

Kabul Tarihi

Yayımlandığı Sayı

DOI

IZ

Kaynak Göster