Management and investigation of testicular torsion / 中华男科学杂志

ABSTRACT

<p><b>OBJECTIVE</b>To improve the diagnosis and treatment of testicular torsion.</p><p><b>METHODS</b>The clinical data of 9 cases of suspected testicular torsion were restrospectively analyzed to summarize the diagnostic experiences.</p><p><b>RESULTS</b>The 9 patients were 12-27 (mean 15) years old, 8 treated by surgery and 1 by spontaneous detorsion under anesthesia. Among them, 7 cases were proved to be testicular torsion and 1 case was acute epididymitis. Of the 7 cases of testicular torsion, 6 were found to have 180-720-degree torsion around the spermatic cord and 1 case 180-degree around the verticality of the spermatic cord. The accuracy rate of color ultrasonic examination was 87.5%.</p><p><b>CONCLUSION</b>Patients with acute scrotum pain should have color ultrasonic examination. Not all cases of the disease had testicular torsion around the spermatic cord. Emergency operation should be performed on any suspected case of testicular torsion.</p>