The testicular reversal and the sperm cable reversal occur at the same time, causing the blood circulation in the sperm cable, causing the ischemia and necrosis of the testicles, which can often cause.
The onset of testicles is higher than the right on the left, which may be related to the long left sperm cable.Because the testeus muscle fiber is spiral -shaped from near to far away testicles, the twisting is mostly reversed from the outer side to the midline, that is, the right side is clockwise, and the left side of the clockwise direction.
The treatment of testicular torsion can be used as follows:
(1) Retention: Generally, you can try it at the beginning of the disease.The analgesic and antispassemia should be given first, and the testicles that are raised and raised in half will be reset after half an hour.After the reset is successful, the scrotum is supported by the "Ding" character to allow the patient's testicular to rest.But the technique cannot prevent recurrence after reset.
(2) Surgical reset: After the testicular reversal is diagnosed, the time should be reset immediately, and the surgery is completed within 6 hours of the symptoms.After the twisting testicular is reset, the blood transport is normal, and then the testicular, sperm cable, and the inner sheath of the scrotum are fixed, so as to avoid recurrence after surgery.If the testicular blood circulation is found during the operation, the testicular blood circulation is extremely poor, and the testicular should be removed after reset.
(3) Patients who are suspected of testence to reverse should be detected in time, which is an important principle.Especially those on the other side of the testicular should pay more attention to protecting the survival of the testicles so as to avoid the consequences of unavoidable time.
The purpose of testicular to reversing is to save testicles.The occurrence of impotence after testicular reversal is not only related to the degree of testes, but also has a great relationship with the patient from the onset to the treatment and diagnosis from the patient.Clinical data shows that the incidence of impotence is about 15%within 5 hours after the onset.It's higher.
Therefore, long -term defense should be performed for testicular reversing surgery. The content of observation is mainly testicular size. Generally, after surgery, it will be followed up for 3 to 6 months.There are reports of testicular atrophy of testicular atrophy 17%to 2 3%after testicular reversing.If a unilateral testis is reversed, and the age of the onset of adolescence must observe adolescence, and pay attention to whether it happens.Especially with a low testicular function, impotence may occur even more.
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