{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T00:02:28Z","timestamp":1789776148985,"version":"4.0.1"},"reference-count":26,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:00:00Z","timestamp":1777507200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:p>\n                    This study assessed the clinical presentation, diagnosis, and outcomes of patients presenting with acute scrotal pain as an adult emergency who underwent scrotal exploration. A retrospective review was conducted at Korle Bu Teaching Hospital, Ghana, over 5 years. Sixty-one patients aged 10\u201372 years (median 21) were included. Clinical findings, use of Doppler ultrasound, operative findings, and outcomes were analysed. Testicular torsion was confirmed in 44 patients (72.1%). Clinical evaluation alone achieved a diagnostic accuracy of 74%, while Doppler ultrasound, performed in 55.7% of cases, showed 88.5% sensitivity for torsion. Orchidectomy was required in 39.3% due to gangrenous testes, while 32.8% had viable testes salvaged. Delayed presentation (&gt;72\u2005h) was strongly associated with testicular gangrene (\u03c7\n                    <jats:sup>2<\/jats:sup>\n                    \u2009=\u200931.47, p\u2009&lt;\u20090.00001). Delayed presentation reduces testicular salvage, and in resource-limited settings, careful clinical examination remains central to diagnosing suspected torsion and guiding timely surgical intervention.\n                  <\/jats:p>","DOI":"10.1177\/00494755261446073","type":"journal-article","created":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T17:24:31Z","timestamp":1777569871000},"page":"670-674","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Scrotal exploration for suspected testicular torsion: Lessons from 61 consecutive cases presenting at an adult emergency room"],"prefix":"10.1177","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4133-1722","authenticated-orcid":false,"given":"James Edward","family":"Mensah","sequence":"first","affiliation":[{"name":"Consultant Urologist, Department of Surgery, Korle Bu Teaching Hospital, Accra, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geoffrey","family":"Birinkorang","sequence":"additional","affiliation":[{"name":"Specialist Urologist, Department of Surgery, Korle Bu Teaching Hospital, Accra, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ernest Kwame","family":"Adjepong-Tandoh","sequence":"additional","affiliation":[{"name":"Senior Specialist Urologist, Department of Surgery, Korle Bu Teaching Hospital, Accra, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enoch","family":"Tackie","sequence":"additional","affiliation":[{"name":"Senior Specialist Urologist, Department of Surgery, Korle Bu Teaching Hospital, Accra, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Nkrumah","sequence":"additional","affiliation":[{"name":"Specialist Urologist, Department of Surgery, Korle Bu Teaching Hospital, Accra, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kofi Tawiah","family":"Mensah","sequence":"additional","affiliation":[{"name":"Specialist Urologist, Department of Surgery, Korle Bu Teaching Hospital, Accra, Ghana"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,30]]},"reference":[{"key":"e_1_3_2_2_2","volume-title":"Acute Scrotum Pain","author":"Gossman W","year":"2019","unstructured":"Gossman W, Boniface MP, Mohseni M. 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