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

Authors : Sarper Sevdimbaş, Salim Satar, Müge Gülen, Selen Acehan, Umut Ünal

Pages : 468-477

Doi:10.17826/cumj.1644332

View : 79 | Download : 120

Publication Date : 2025-06-30

Article Type : Research Paper

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

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