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Clinical and Immunological Study of 21 Patients after Spermatic Cord Torsion

Youness Chakir*, Yassine Berni, Amine Moataz, Mohamed Dakir, Adil Debbagh, Rachid Aboutaieb

Spermatic Cord Torsion (SCT) is a urological emergency affecting in most cases adolescents and young adults. It is a rotation of the spermatic cord around its axis. The aim of the study was to investigate the clinical and immunological course of a series of patients operated on for spermatic cord torsion and to discuss the results. All the cases included in the study had a spermatic cord torsion confirmed surgically, and who agreed to have a spermogram and antiseminal antibody test after three months to one year of surgery. The cases included in this study were adolescent patients aged 14-19 years and young adults (20-40 years) with operated SCT. After 3 months to 1 year, 21 patients were followed by echo Doppler (13 cases) and spermogram with antispermatozoid antibodies (21 cases). Thus, after orchidopexy, the majority of patients operated on within 6 hours had a normal spermogram without the presence of antispermatozoid antibodies. All patients operated after 6 hours had an abnormal spermogram with the presence of anti-sperm antibodies in 3 cases out of 9. The four cases of orchiectomy of the series benefited from a spermogram with search for antispermatozoid antibodies. It was abnormal in 2 cases and two cases had positive antispermatozoid antibodies. We conclude that SCT is a urological emergency that must be operated without delay, because the prognosis of fertility depends on the rapidity of the surgical management.