Email this article 
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
Open Access
Access granted
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.
Keywords
Full Text
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
References
- Blaut S., Steinbach F., Tittel B., Durig E. Testicylar torsion // Aktuelle Urol. 2008. Vol.39, N 2. P.147-149.
- Шорманов И. С., Щедров Д. Н., Ворчалов М. М. Заворот яичка у детей. Учебно-методическое пособие. Ярославль: Аверс Плюс, 2013. 48 с.
- Snodgrass W. T. Pediatric Urology. New York: Springer, 2013.
- Макаров П. А., Огарков И. П., Пономарева С. Ю., Сысоев С. Г. Заворот яичка в детском возрасте / В сб.: Материалы конгресса «Современные технологии в педиатрии и детской хирургии». Москва. 2004. С 557.
- Румянцева Н. Г., Карташев В. Н., Аврасин А. Л. Чименге Ж. Лечебная тактика при завороте яичка у детей / В сб.: Материалы конгресса «Современные технологии в педиатрии и детской хирургии». Москва. 2004. С. 551.
- Белый Л. Е. Перекрут яичка: патогенез, диагностика, лечение // Сибирское медицинское обозрение. 2011. Т. 68, № 2. С. 11-17.
- Шорманов И. С., Щедров Д. Н., Ворчалов М. М. Хирургическая тактика при завороте яичка у детей // Медицинский вестник Башкортостана. 2015. Т. 10, № 3. С. 31-34.
- Щедров Д. Н., Медведев Н. А. Острые заболевания органов мошонки у новорожденных // Вестник урологии. 2014. № 4. С. 25-35.
- Anderson M. J., Dunn J. K., Lipshultz L. I., Coburn M. Semen guality and endorchite parameters after acute testicular torsion // J. Urol. 1992. Vol. 147, N 6. P. 1545-1550.
- Harper L., Gatibelsa M. E., Michel J. L. et al. The return of the solitary testis // J Pediatr Urol. 2011. Vol. 7, N 5. P. 534-537.
- Danenport M. Acute problems of the scrotum // B M J. 1996.Vol. 312, P. 435-437.
- Baune A. P., Madden-Fuentes R. J., Jones E. A. et al. Factor associated with delayed treatment of acute testicular torsion - do demographics or interhospital transfer matter // J Urol. 2010. Vol. 184, N 4. P. 786-789.
- GuntherP., Schenk J. P., Wunsch R. et al. Acute testicular torsion in children: the role of sonography in the diagnostic workup // Eur Radiol. 2006. Vol.16, N 11. P. 2527-2532.
- Karmasun B., Steinberg R., Kornreich L. et al. Clinical and sonographic criteria of acute scrotum in children: a retrospective stydy of 172 boys // Pediatr Radiol. 2005. Vol.35, N 3. P. 302-310.
- Gunther P., Rubben I. The acute scrotum in childhood and adolescence // Dtsch Arztebl Int. 2012. Vol. 109. N 25. P. 449-458.
- Kajbafzaden A. M., Shirasi M., Dianat S., Mehdizaden M. Management of recurrent epididymitis in children: applications of neurovascular sparing vas clipping in refractery cases // J Pediatr Urol. 2011. Vol. 7, N 5. P. 552-558.
- Hegarty P. K., Walsh E., Corcoran M. O. Exploration of the acute scrotum: a retrospective analysis of 100 consesutive cases // Ir J Med Sci. 2001. Vol.170, N 3. P.181-182.
Supplementary files
