Cross-sectional study of public awareness of testicular torsion in an endemic sickle cell disease area: is there a link?

Talal Aldossary; Abdullatif Almaghlouth; Hassan Aldihnayn; Hussain Bohassan; Fatimah Almumtin; Abdulrahman Alamer; Shoug Alotaibi; Amwaj Alshammari; Duaa Alibrahim; Alanoud Alhulaybi

doi:10.24911/IJMDC.51-1763114767

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Original Article
Online Published: 16 Dec 2025

IJMDC. 2025; 9(12): 3139-3145

doi: 10.24911/IJMDC.51-1763114767

Cross-sectional study of public awareness of testicular torsion in an endemic sickle cell disease area: is there a link?

Talal Aldossary, Abdullatif Almaghlouth, Hassan Aldihnayn, Hussain Bohassan, Fatimah Almumtin, Abdulrahman Alamer, Shoug Alotaibi, Amwaj Alshammari, Duaa Alibrahim, Alanoud Alhulaybi.

Abstract
Objective: This study aimed to evaluate the awareness and understanding of testicular torsion among the general population in Al-Ahsa, Saudi Arabia.
Methods: A cross-sectional community survey was conducted in September 2025 among 413 adults in Al-Ahsa using a validated bilingual questionnaire to assess demographics, knowledge, attitudes, and health history, including sickle cell disease (SCD).
Results: Participants were nearly evenly split by gender (51.8% male) and mostly aged 20–30 years (61.7%). Mean knowledge score was 6.33 ± 2.1 (48.7%). While 84.7% recognized torsion as a medical emergency and 79.7% would seek immediate care, only 35.1% correctly defined it, 45.5% knew conservative management is insufficient, and 38.7% identified orchiectomy as necessary for prolonged ischemia. Awareness was higher among females (p-value=0.022), age 20–30 years (p<0.001), singles (p-alue=0.011), bachelor’s degree holders (p<0.001), and healthcare workers (p<0.001). SCD was reported by 7% of participants. A strong association existed between SCD and torsion history (χ² = 20.20, p<0.001), where 44.4% of those with torsion had SCD versus 5.3% without.
Conclusion: Public knowledge of testicular torsion in Al-Ahsa remains suboptimal despite awareness of urgency. The significant link with SCD highlighted the need for targeted education and early screening for high-risk groups in endemic regions.

Key words: Testicular torsion, public awareness, knowledge, Sickle cell disease, urological emergency, Saudi Arabia.

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Pubmed Style

Aldossary T, Almaghlouth A, Aldihnayn H, Bohassan H, Almumtin F, Alamer A, Alotaibi S, Alshammari A, Alibrahim D, Alhulaybi A. Cross-sectional study of public awareness of testicular torsion in an endemic sickle cell disease area: is there a link?. IJMDC. 2025; 9(12): 3139-3145. doi:10.24911/IJMDC.51-1763114767

Web Style

Aldossary T, Almaghlouth A, Aldihnayn H, Bohassan H, Almumtin F, Alamer A, Alotaibi S, Alshammari A, Alibrahim D, Alhulaybi A. Cross-sectional study of public awareness of testicular torsion in an endemic sickle cell disease area: is there a link?. https://www.ijmdc.com/?mno=296575 [Access: January 16, 2026]. doi:10.24911/IJMDC.51-1763114767

AMA (American Medical Association) Style

Aldossary T, Almaghlouth A, Aldihnayn H, Bohassan H, Almumtin F, Alamer A, Alotaibi S, Alshammari A, Alibrahim D, Alhulaybi A. Cross-sectional study of public awareness of testicular torsion in an endemic sickle cell disease area: is there a link?. IJMDC. 2025; 9(12): 3139-3145. doi:10.24911/IJMDC.51-1763114767

Vancouver/ICMJE Style

Aldossary T, Almaghlouth A, Aldihnayn H, Bohassan H, Almumtin F, Alamer A, Alotaibi S, Alshammari A, Alibrahim D, Alhulaybi A. Cross-sectional study of public awareness of testicular torsion in an endemic sickle cell disease area: is there a link?. IJMDC. (2025), [cited January 16, 2026]; 9(12): 3139-3145. doi:10.24911/IJMDC.51-1763114767

Harvard Style

Aldossary, T., Almaghlouth, . A., Aldihnayn, . H., Bohassan, . H., Almumtin, . F., Alamer, . A., Alotaibi, . S., Alshammari, . A., Alibrahim, . D. & Alhulaybi, . A. (2025) Cross-sectional study of public awareness of testicular torsion in an endemic sickle cell disease area: is there a link?. IJMDC, 9 (12), 3139-3145. doi:10.24911/IJMDC.51-1763114767

Turabian Style

Aldossary, Talal, Abdullatif Almaghlouth, Hassan Aldihnayn, Hussain Bohassan, Fatimah Almumtin, Abdulrahman Alamer, Shoug Alotaibi, Amwaj Alshammari, Duaa Alibrahim, and Alanoud Alhulaybi. 2025. Cross-sectional study of public awareness of testicular torsion in an endemic sickle cell disease area: is there a link?. International Journal of Medicine in Developing Countries, 9 (12), 3139-3145. doi:10.24911/IJMDC.51-1763114767

Chicago Style

Aldossary, Talal, Abdullatif Almaghlouth, Hassan Aldihnayn, Hussain Bohassan, Fatimah Almumtin, Abdulrahman Alamer, Shoug Alotaibi, Amwaj Alshammari, Duaa Alibrahim, and Alanoud Alhulaybi. "Cross-sectional study of public awareness of testicular torsion in an endemic sickle cell disease area: is there a link?." International Journal of Medicine in Developing Countries 9 (2025), 3139-3145. doi:10.24911/IJMDC.51-1763114767

MLA (The Modern Language Association) Style

Aldossary, Talal, Abdullatif Almaghlouth, Hassan Aldihnayn, Hussain Bohassan, Fatimah Almumtin, Abdulrahman Alamer, Shoug Alotaibi, Amwaj Alshammari, Duaa Alibrahim, and Alanoud Alhulaybi. "Cross-sectional study of public awareness of testicular torsion in an endemic sickle cell disease area: is there a link?." International Journal of Medicine in Developing Countries 9.12 (2025), 3139-3145. Print. doi:10.24911/IJMDC.51-1763114767

APA (American Psychological Association) Style

Aldossary, T., Almaghlouth, . A., Aldihnayn, . H., Bohassan, . H., Almumtin, . F., Alamer, . A., Alotaibi, . S., Alshammari, . A., Alibrahim, . D. & Alhulaybi, . A. (2025) Cross-sectional study of public awareness of testicular torsion in an endemic sickle cell disease area: is there a link?. International Journal of Medicine in Developing Countries, 9 (12), 3139-3145. doi:10.24911/IJMDC.51-1763114767

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