The recovery of testicular to reversing is not easy. For the testes to reverse such diseases, we must make early treatment and control the development of the disease, and reduce some unnecessary trouble.So, how to treat testicular reversal?
Teste of testicular reversing
1. Method reset
Once the diagnosis is determined, it can be immediately tried and corrected by the method of retention.Skill reset may be relieved, restoration of testicular blood supply, so that selective surgery can be performed in the future.When reset, first use 1%5 to 10ml to injection at the surrounding area of the outer ring to block the anesthesia, and implement the reset after 5 minutes.It can be touched to change the samples of the twisting place, and it can disappear immediately after the reset is successful.Pain also quickly relieved.Selective testicular fixation can be delayed to 48H.
2. Surgical detection and testicular fixation
If the resetting failure, or suspicion of testicular necrosis, or the diagnosis of testicular reversal cannot be excluded, scrotal detection should be performed immediately.It is important to prevent inappropriate delays for special examinations, because testicular necrosis is related to testicular reversal time.Research data proves that patients can obtain the best results in the symptoms of 4H, which can be reversed for 8h or more. The occurrence of testicular atrophy in the later period will increase significantly. After twisting 24h, saving the testicular has lost its meaning.
For all patients with testes, the opposite testicular fixation should also be performed at the same time.Because almost all these patients have the defects of bilateral testicles and scrotal anatomy, there will be a risk of reversing on the side in the future.During the affected side surgery, it is not appropriate to sew the opposite testicles a few shots in the middle section.It should be standardized.Use the non -absorbing line to suture the upper, middle and lower of the testicles on the meat film, so that the testicles still have sufficient mobility and not to reverse.
When do I need to remove the testicles?
In the past, most surgeons felt that if the testicles were still likely to survive, they should be retained, and only the testicular testicular that had been obviously removed.Recent information pointed out that the lack of blood supply of blood supply can stimulate the producer sperm antibody and harm the testicular of the health side. Therefore, some scholars recommend that they only retain the testes of the cycle significantly after the reversal reset.After 12h, surgery, most of the testes of damaged testes atrophic, sperm count decreased.We believe that in the current circumstances, the testicles that retain more than 12h or more should be cautious, and we should be determined to remove.For example, the survival of the testicles in the operation is still difficult to determine. It can inject fluorescein and observe the testicles under ultraviolet light.Fluorescein is irrigated to the testicles, and the testicles can be survived and can be reserved.Teste necrosis can be placed in the testicular prosthesis at the same time or second phase.
(Editor in charge: Zheng Guisheng)
