Diagnostic and treatment strategies for testicular torsion.
- Author:
Qing-Song MENG
1
;
Wan-Ze ZHANG
2
;
Ming ZHANG
1
;
Jiang-Hua JIA
1
;
Xin WANG
1
;
Wan-Li MA
3
;
Yao-Hua WANG
4
;
Ya-Xuan WANG
1
Author Information
1. Department of Urology, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei 050000, China.
2. Hebei Medical University, Shijiazhuang, Hebei 050000, China.
3. Department of Urology, Xingtai People's Hospital, Xingta, Hebei 054400, China.
4. Department of Urology, Guantao Hospital of Traditional Chinese Medicine, Handan, Hebei 057750, China.
- Publication Type:Journal Article
- Keywords:
testicular torsion;
manual detorsion;
manual detorsion combined with surgery
- MeSH:
Humans;
Male;
Spermatic Cord Torsion/therapy*;
Retrospective Studies;
Adolescent;
Young Adult;
Ultrasonography;
Testis/surgery*;
Adult
- From:
National Journal of Andrology
2025;31(3):222-225
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To investigate the differences between high-frequency ultrasound-guided manual detorsion combined with surgery (MD+S) and surgery alone in the treatment of testicular torsion, and to provide some new evidence for the timely diagnosis and treatment of the disease.
METHODS:We retrospectively analyzed the clinical data on 134 cases of unilateral testicular torsion within 48 hours treated in our hospital by MD+S or by surgery alone from January 2015 to May 2022. We statistically analyzed the age distribution, and duration and degrees of testicular torsion, followed by comparison between the two groups.
RESULTS:In the 134 cases, the median age of onset was 15 (13－19) years old, the median onset-to-visit time was 15 (8－25) hours, and the median degree of torsion was 360° (180°－1080°). Of the total number of patients, 21 underwent testicular excision and the other 113 were treated with the testis preserved, with no statistically significant difference in age distribution between the two groups (P>0.05), and a higher rate of testis resection in those with longer duration and greater angle of torsion (P<0.05). Totally, 33 of the patients were assigned to the MD+S group and 101 to the surgery alone group. According to the actual clinical conditions and excluding those with torsion time longer than 24 hours and torsion angle greater than 720 °, 28 of the patients underwent ultrasound-guided MD+S (with 1 case of testis resection, 3.6%), and 68 received surgery alone (with 7 cases of testis resection, 10.3%). The rate of testis resection was higher in the surgery alone than that in the MD+S group, but with no statistically significant difference between the two groups (P>0.05), which was considered to be related to the small sample size in this study.
CONCLUSION:The popularization of testicular torsion knowledge can shorten the onset-to-visit time, and reasonable manual detorsion before emergency surgery can reduce the rate of testis resection.
