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Fırat Üniversitesi Sağlık Bilimleri Tıp Dergisi
2019, Cilt 33, Sayı 1, Sayfa(lar) 039-042
[ Turkish ] [ Tam Metin ] [ PDF ]
10-Year Single Center Experience in Testicular Torsion Cases
Ahmet KARAKEÇİ, Tunç OZAN, Necip PİRİNÇCİ, Fatih FIRDOLAŞ, İrfan ORHAN
Fırat Üniversitesi, Tıp Fakültesi, Üroloji Anabilim Dalı, Elazığ, TÜRKİYE
Keywords: Testis, torsion, orchiectomy, detorsion

Objective: In this study we aimed to evaluate the 10 years clinical data on emergency application records of Fırat University Urology Clinic with testicular torsion.

Materials and Methods: Fifty patients who applied to urology clinic due to testicular torsion between January 2008 and September 2018 were evaluated. The evaluation criteria were age, complaint, duration and localisation of the torsion, diagnostic tool, surgical observations and the method of treatment.

Results: Mean age of the 50 patients was 23.54 ±11.8 (1-51) years. Affected testis was left in 25 and right in 25 of the patients.. Mean time period between the onset of the complaints and the application to the hospital was 25 (2-72) hours. All patients were diagnosed with physical examination and the diagnosis was verified with scrotal doppler ultrasound. Torsion was corrected manually by 8 of the patients (4 left, 4 right). By 21 of the patients testicular blood supply was regained after surgical detorsion (9 left, 12 right). Testicular fixation was performed by all patients with regained testicular blood supply. By all of the patients undergoing detorsion and testicular fixation, sufficient blood supply was observed with doppler ultrasound after the procedure. By the 21 patients disseminated haemorrhagia and infarkt was observed and orchiectomy was performed because of no blood circulation in the testicular tissue after detorsion (12 left, 9 right).

Conclusion: Testis torsion should be distinguished from other acute scrotal pathologies by all the diagnostic methods necessary and urgent intervention should be performed in order to prevent organ loss.


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