%0 Journal Article
%T Intrascrotal anomalies related to testicular torsion in nigerians: an anatomical study Les anomalies intra scrotales associ¨¦es ¨¤ la torsion testiculaire chez les Nig¨¦riens - une ¨¦tude anatomique
%A OB Shittu
%A OE Idowu
%A AO Malomo
%A RSA Ajani
%J African Journal of Urology
%D 2006
%I 
%X Objective: The abnormalities that predispose to torsion are often bilateral. They include horizontally lying testis, bell-clapper deformity (BCD), long mesorchium, well-developed spiral cremasteric muscle and ectopic testis. The pattern and incidence of intrascrotal anomalies that predispose to testicular anomalies in Nigerians have not been studied. Our objective was to define and document this. Material and Methods: The scrotal sacs of fifty cadaver scrotums and inguinal canals from patients aged between 35 and 57 years (mean age: 42 years) were examined. The parameters studied were the location (scrotal or canalicular), alignment (horizontal, vertical), mesorchium (height and width), cremasteric muscle development (well or poorly developed) and parietal tunica vaginalis investment of the testis (normal, intermediate or BCD). Results: Forty-nine testes had descended to the scrotal position; all were anchored by the ligamentum testis. The canalicular position was noted to be present in one cadaver. Forty-eight testes lay vertically. 16% of the testes had BCD, while intermediate tunica investment was noted in 12%. The most common type of epididymal and testicular relationship was Type I (84%). The mesorchium was normal in all specimens examined. Conclusion: The most common anomaly in our study was that of tunica investment, and this is usually bilateral. The need for bilateral orchiopexy in cases of testicular torsion is further strengthened since the anatomic anomalies are usually bilateral. R¨¦sum¨¦ Objectif: Les caract¨¨res anormaux qui pr¨¦disposent ¨¤ la torsion testiculaire sont souvent bilat¨¦raux. Ils incluent des testicules ascenseurs horizontalement, difformit¨¦ du bell-clapper (BCD), un long mesorchium, un muscle cremasterien en spirale bien d¨¦velopp¨¦ et testicules ectopiques. Le type et la fr¨¦quence d'anomalies intra scrotales qui pr¨¦disposent aux anomalies testiculaires chez les Nig¨¦riens n'ont pas ¨¦t¨¦ ¨¦tudi¨¦s. Notre objectif ¨¦tait de d¨¦finir et documenter ceci. Mati¨¨re et m¨¦thodes: Les scrotums et les canaux inguinaux de cadavres de patients d'age entre 35 et 57 ann¨¦es (age moyen: 42 ann¨¦es) ¨¦taient examin¨¦s. Les param¨¨tres ¨¦tudi¨¦s ¨¦taient l'emplacement (scrotal ou canaliculaire), l'alignement (horizontal, vertical), le mesorchium (hauteur et largeur), le d¨¦veloppement du muscle cremasterien (bien ou peu d¨¦velopp¨¦) et le d¨¦veloppement de la tunica vaginalis pari¨¦tal des testicules (normal, interm¨¦diaire ou BCD). R¨¦sultats: Quarante-neuf testicules ¨¦taient descendus en place dans le scrotum; tous ont ¨¦t¨¦ ancr¨¦s par les ligaments testiculaires. Le si¨¨ge canalaire ¨¦tait pr¨¦sent chez un cadavre. Quarante-huit testicules sont dispos¨¦s verticalement. 16% des testicules avaient un BCD, cependant le d¨¦veloppement interm¨¦diaire de la tunica vaginalis a ¨¦t¨¦ not¨¦ chez 12%. Le type le plus commun de rapport entre l'¨¦pididyme et le testicule ¨¦tait le Type I (84%). Le mesorchium ¨¦tait normal dans tous les sp¨¦cimens examin¨¦s. Conclusion: L'anomalie la pl
%U http://www.ajol.info/index.php/aju/article/view/8136