Testicular torsion can cause necrosis for more than eight hours, and the treatment is urgent

Clinical data show that testicular torsion is not uncommon and can occur in every age group, but the incidence rate of adolescents is the highest. Testicular torsion often destroys testicular spermatogenesis and endocrine function due to excessive ischemia, leading to testicular atrophy, necrosis and other serious consequences.

Experts pointed out that the ischemia condition after testicular torsion is related to the degree and duration of torsion. The greater the degree of torsion, the more serious the ischemia, and the smaller the relief opportunity.

According to the research report of medical experts, testicular ischemia lasts for 1 hour and reversible ischemia lasts for 5 hours. Most testicles can still be cured. Over 8 hours, testicular necrosis is inevitable. If it lasts more than 24 hours, the function of the lateral testicle may disappear forever.

Testicular torsion is easy to occur during sleep at night or in the early morning. Especially after boys enter puberty, penile erection increases at night, accompanied by local muscle contraction, which can cause testicular rotation.

Potential congenital developmental abnormalities, such as excessive or insufficient gubernaculum, or high fixed point of spermatic cord, or juvenile spermatic testis with oblique hernia, increase the activity of spermatic testis when the penis is erect at night, which is easy to distort, and symptoms occur when it cannot recover itself.

Many patients with testicular torsion suddenly have scrotal swelling and tenderness, and the spermatic cord thickens. The pain affects the lower abdomen, groin and thigh. Some patients may have nausea, vomiting, fever, walking inconvenience and other symptoms. stay

In our daily life, many men endure testicular torsion paralysis and pain, delay early treatment, and lose their fertility. Dawn experts suggest that once testicular torsion occurs, especially in teenagers, the torsion should be removed in time to restore testicular blood supply, so as to save testicles and prevent complications.

In the early stage of testicular torsion, manual reduction can be used. However, the testicle after manual reduction is not fixed, and may be twisted again. Moreover, it is difficult to judge the testicular ischemia after manual reduction. It is recommended to go to a professional andrology hospital for diagnosis and treatment in time, and adopt surgical treatment. In addition, it is more important for unmarried young men to ask a doctor for semen examination after treatment to understand the function of lateral testicles and lateral testicles.

How to treat testicular torsion

Surgical reduction

The diagnosis is testicular torsion, which does not exceed 12h, and manual reduction and correction can be tried immediately. Manual reduction may relieve torsion and restore testicular blood supply, so as to carry out selective surgery in the future. During reduction, 5~10ml of 1% lidocaine was injected into the periphery of the spermatic cord of the outer ring for block anesthesia, and the reduction was performed within 5min. The spermatic cord at the touch torsion site has a knot like change, which disappears immediately after the reverse direction reset is successful. The pain soon relieved. Selective testicular fixation can be delayed to 48 hours.