Testicular Torsion Evaluation by ultraSonography Technic Imaging

Not yet recruiting

• Conditions: Testicular Torsion

• Registration Number: NCT07133243
• Lead Sponsor: Centre Hospitalier de Roubaix

Brief Summary

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.

Detailed Description

Not available

Study Timeline

• Status Verified: 2025-08
• Study First Submitted: 2025-08-05
• Study First Submitted QC: 2025-08-19
• Last Update Submitted: 2025-08-19
• Study First Posted: 2025-08-20
• Last Update Posted: 2025-08-20
• Study Start: 2025-11-03
• Primary Completion: 2026-05-31
• Study Completion: 2026-11-30

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: Male
• Target Recruitment: 50

Inclusion Criteria

• 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
• Presence of an emergency physician trained in performing testicular ultrasound during the transition to the Emergency unit
• Patient who did not object to participating in the study

Exclusion Criteria

• 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

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Number of patient with diagnostic of testicular torsion	At enrollement	Concordance between testicular ultrasound and chirurgical diagnostic of testicular torsion

Secondary Outcome Measures

Name	Time	Method
Identify predictive factors for diasgnosis of testicular torsion	At enrollement	Describe the predictive factors for the diagnosis of testicular torsion by multimodal regression including demographic data, clinical signs and complementary lab results.
Epidemiological factors of testicular pain	At enrollement	Describe the epidemiological factors of testicular pain based on age and antedecents
Doppler result concordance between emergency physician and radiologist	From enrollement to 48 hours	Compare the results between testicular ultrasound performed by an emergency physician and the same ultrasound performed by a radiologist
Characterised patients who benefit ultrasound from a radiologist according to final diagnostic	From enrollement to 48 hours	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

Trial Locations

Locations (1)

CH de Roubaix; 🇫🇷 Roubaix, France