Analysis of the testicular torsion’s time with operative prognosis
To study the relationship of the testicular torsion’s time with operative prognosis.Methods:From 1998 to 2010 , 80 patients with testicular torsion were retrospectively analyzed on the onset time,the operative method,operative prognosis within two years.Result:32 cases who received surgical detorsion and orchidopexy within 12 hours from atack time had testicles survival,2 case’s testicules appeared mild reduction within 2 years of postoperation.Of 28 cases who had operation within 12 hours to 24 hours from atack time 20 cases who received surgical detorsion and orchidopexy had testicles survival, 3 case’s testicules appeared mild to moderate reduction within 2 years of postoperation,8 cases received orchiectomy.Of 20 cases who had operation more than 24 hours from atack time 18 received orchiectomy, 2 received surgical detorsion and orchidopexy,1 received orchiectomy after 2 weeks of postoperation because of testicular necrosis,1 case’s testicule appeared severe reduction within 2 years of postoperation.Conclusions:the cases should receive surgical detorsion and orchidopexy within 12 hours from atack time because of good prognosis. The cases within 12 hours to 24 hours from atack time can receive surgical detorsion and orchidopexy or orchiectomy because testicles survival rate is high. The cases more than 24 hours from atack time should receive orchiectomy.
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