Diagnostic and treatment strategies for testicular torsion
10.13263/j.cnki.nja.2025.03.005
- VernacularTitle:睾丸扭转诊治模式的相关分析
- Author:
Qing-song MENG
1
;
Wan-ze ZHANG
;
Ming ZHANG
;
Jiang-hua JIA
;
Xin WANG
;
Wan-li MA
;
Yao-hua WANG
;
Ya-xuan WANG
;
Jin-chun QI
Author Information
1. 河北医科大学第二医院泌尿外科,河北石家庄 050000
- Publication Type:Journal Article
- Keywords:
testicular torsion;
manual detorsion;
manual detorsion combined with surgery
- 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 diagno-sis 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 ca-ses,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 de-gree 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.
