Surgical management for the children testis torsion
- Authors: Shchedrov D.N.1
-
Affiliations:
- GBUZ YaO “Region children’s clinical hospital”
- Issue: Vol 5, No 2 (2015)
- Pages: 20-24
- Section: Articles
- URL: https://journals.eco-vector.com/uroved/article/view/2893
- DOI: https://doi.org/10.17816/uroved5220-24
- ID: 2893
Cite item
Abstract
It was performed the analysis of the treatment results of 140 patients with a testicular inversion. The aim of the publication was to improve the treatment results and to develop optimal surgical tactic with questionable viability of the testis. Analysis of relations has been carried out between degree of testicular atrophy and objective Doppler parameters (Ri, ISD) and their correlation with clinical reference points in a curative tactic - a duration of disease and a degree of inversion. It has been shown that the decrease of Ri below 0.5 and ISD below 1.5 clinically correlate with a disease for 24 hours and degree of inversion 270-360°. Thus the combination of a degree of inversion of 360° and disease for 24 hours actually leaves no chances to save the testicle, resulting either to urgent orchiectomy or to total atrophy, requiring removal of the gonads.
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About the authors
Dmitriy Nikolaevich Shchedrov
GBUZ YaO “Region children’s clinical hospital”
Email: shedrov.dmitry@yandex.ru
candidate of medical science, head of urology-andrology department
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