For testicular reversing diseases, we need to treat and care in time when they are sick in order to recover earlier, avoiding too serious harm to the occurrence of diseases, but many patients often do not know how to treat them after the illness.Let's understand what are the treatment methods for testicular reversing diseases?
The cause of testicular reversal
The testicular membrane is connected to the scrotum through the testicular film, and the testicular membrane is fixed to the scrotum by the testicular membrane.Some fetuses will produce a diaphragm on one or both sides during development. After birth, the activity of the testicles and sperm cables is very large.A certain degree of reversal occurred, also known as the twist.
What should I do if there is a testicular reversal?
1. Method reset: Once the diagnosis is determined, it does not exceed 12h, and you can immediately try to reset the method to correct it.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%Lidoine 5 to 10ml to injection at the sperm of the outer ring to block the anesthesia around the surroundings, 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 exploration and testicular fixation: If the technique is reduced, or suspects of testicular necrosis, or the diagnosis of testicular reversal cannot be excluded, scrotal detection should be immediately performed.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.
3. Testes: What kind of testicles should be removed? In the past, most surgeons felt that if the testicles were still likely to survive, they should be retained, and only the testicular testis 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.
4. Treatment of neonatal testicles: In the newborn period, the testicles have just dropped to the scrotum, and the leading band does not fully integrate on the scrotum wall. Therefore, the testicular and lead can rotate freely in the newborn scrotum.In this age group, the entire testicles, epididymia, and narrow sheath sac may rotate along the longitudinal axis under the sperm to form a testicular sheath sac to reverse.
5. Treatment of testicular twisting during adolescence: Patients with adolescent patients have acute pain and swelling of testicles. They are mostly caused by twisting. Because the testicular lead has merged on the scrotum wall and the sheath is closed, it is often formed.The pain in the scrotum suddenly occurred, and then the scrotum quickly had edema.Once the diagnosis is performed, scrotal detection should be performed immediately, and opposite testosteriasis should be performed.If the reversal can be reset, the testicular fixation should still be performed, because the reversing recurrence and testicular necrosis can occur before the patient has not yet discharged.
(Editor in charge: Zheng Guisheng)
