Email this article Tactics of treatment of patients with testicular torsion
- Authors: Kalinina S.N.1, Fesenko V.N.1, Burlaka O.O.2, Mosharev M.V.2, Aleksandrov M.S.2, Madzhidov S.A.2, Vydryn P.S.2
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Affiliations:
- I.I. Mechnikov North-Western Medical State University
- Aleksandrovskaya Hospital
- Issue: Vol 9, No 1 (2019)
- Pages: 5-10
- Section: Original articles
- URL: https://journals.rcsi.science/uroved/article/view/12922
- DOI: https://doi.org/10.17816/uroved915-10
- ID: 12922
Cite item
Abstract
The article presents the results of surgical treatment of 36 men aged 18 to 35 years with testicular torsion who were treated at the urological clinic of the Alexandrovskaya Hospital from 2012 to 2017. Indications for surgical treatment were pains in the inguinal region, the absence or sharp decrease in blood flow below the site of the alleged testicular torsion by ultrasound dopplerography of the scrotum organs. Orchidpexy was performed in 8 patients, orchiepididimectomy was performed in 28 patients. The indication for orchidpexy was the viable testicle, which was observed with incomplete testicular torsion and its duration of less than 6 hours. Testicular prosthesis was performed in 11 patients.
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##article.viewOnOriginalSite##About the authors
Svetlana N. Kalinina
I.I. Mechnikov North-Western Medical State University
Author for correspondence.
Email: kalinina_sn@mail.ru
Doctor of Medical Science, Professor, Urology Department
Russian Federation, Saint PetersburgVladimir N. Fesenko
I.I. Mechnikov North-Western Medical State University
Email: fesvn_spb@mail.ru
Candidate of Medical Science, Associate Professor, Urology Department
Russian Federation, Saint PetersburgOleg O. Burlaka
Aleksandrovskaya Hospital
Email: burlaka@list.ru
Candidate of Medical Science, Head of Department of Urology
Russian Federation, Saint PetersburgMikhail V. Mosharev
Aleksandrovskaya Hospital
Email: fesvn_spb@mail.ru
Candidate of Medical Science, Head of Department of Urology
Russian Federation, Saint PetersburgMikhail S. Aleksandrov
Aleksandrovskaya Hospital
Email: fesvn_spb@mail.ru
Candidate of Medical Science, Head of Department of Urology
Russian Federation, Saint PetersburgSaidzhon A. Madzhidov
Aleksandrovskaya Hospital
Email: fesvn_spb@mail.ru
Candidate of Medical Science, Head of Department of Urology
Russian Federation, Saint PetersburgPavel S. Vydryn
Aleksandrovskaya Hospital
Email: fesvn_spb@mail.ru
Candidate of Medical Science, Head of Department of Urology
Russian Federation, Saint PetersburgReferences
- Тиктинский О.Л., Калинина С.Н., Михайличенко В.В. Андрология. – М.: МИА, 2010. – 576 с. [Tiktinskiy OL, Kalinina SN, Mikhaylichenko VV. Andrologiya. Moscow: MIA; 2010. 576 p. (In Russ.)]
- Абоев З.А. Острые заболевания органов мошонки. Клиника, диагностика и лечение: Автореф. дис. … канд. мед. наук. – М., 2001. [Aboev ZA. Ostrye zabolevaniya organov moshonki. Klinika, diagnostika i lechenie. [dissertation] Moscow; 2001. (In Russ.)]
- Favorito LA, Cavalcante AG, Costa WS. Anatomic aspects of epididymis and tunica vaginalis in patients with testicular torsion. Int Braz J Urol. 2004;30(5):420-424. http://dx.doi.org/10.1590/S 1677-55382004000500014.
- Filho DW, Torres MA, Bordin AL, et al. Spermatic cord torsion, reactive oxygen and nitrogen species and ischemia-reperfusion injury. Mol Aspects Med. 2004;25(1-2):199-210. https://doi.org/10.1016/j.mam.2004.02.020.
- Zhao LC, Lautz TB, Meeks JJ, Maizels M. Pediatric testicular torsion epidemiology using a national database: incidence, risk of orchiectomy and possible measures toward improving the quality of care. J Urol. 2011;186(5):2009-2013. https://doi.org/10.1016/j.juro.2011.07.024.
- Hazeltine M, Panza A, Ellsworth P. Testicular Torsion: Current Evaluation and Management. Urol Nurs. 2017;37(2):61-71,93. https://doi.org/10.7257/1053-816X.2017.37.2.61.
- Sharp VJ, Kieran K, Arlen AM. Testicular torsion: diagnosis, evaluation, and management. Am Fam Physician. 2013;88(12):835-840.
- Trojian TH, Lishnak TS, Heiman D. Epididymitis and orchitis: an overview. Am Fam Physician. 2009;79(7):583-587.
- Dogra VS, Gottlieb RH, Oka M, Rubens DJ. Sonography of the scrotum. Radiology. 2003;227(1):18-36. https://doi.org/10.1148/radiol.2271001744.
- Юдин Я.Б., Окулов А.Б., Зуев Ю.Е., Саховский А.Ф. Острые заболевания органов мошонки у детей. – М.: Медицина, 1987. – 144 с. [Yudin YB, Okulov AB, Zuev YE, Sakhovskiy AF. Ostrye zabolevaniya organov moshonki u detey. Moscow: Meditsina; 1987. 144 p. (In Russ.)]
- Mansbach JM, Forbes P, Peters C. Testicular torsion and risk factors for orchiectomy. Arch Pediatr Adolesc Med. 2005;159(12):1167-1171. https://doi.org/10.1001/archpedi.159.12.1167.
- Щедров Д.Н. Хирургическая тактика при завороте яичка у детей // Урологические ведомости. – 2015. – Т. 5. – № 2. – С. 20–24. [Shchedrov DN. Khirurgicheskaya taktika pri zavorote yaichka u detey. Urologicheskie vedomosti. 2015;5(2):20-24. (In Russ.)]
- Шорманов И.С., Щедров Д.Н. Закрытая мануальная деторсия при завороте яичка у детей // Урологические ведомости. – 2018. – Т. 8. – № 1. – С. 34–39. [Shormanov IS, Shchedrov DN. Closed manual detorsion in case of a testicular torsion in children. Urologicheskie vedomosti. 2018;8(1):34-39. (In Russ.)]. https://doi.org/10.17816/uroved8134-39.
- Шорманов И.С., Щедров Д.Н., Морозов Е.В. Нарушения сперматогенной функции после перенесенного заворота яичка в детском и подростковом возрасте // Урологические ведомости. – 2018. – Т. 8. – № 4. – С. 25–32. [Shormanov IS, Shchedrov DN, Morozov EV. Narusheniya spermatogennoy funktsii posle perenesennogo zavorota yaichka v detskom i podrostkovom vozraste. Urologicheskie vedomosti. 2018;8(4):25-32. (In Russ.)].
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