睪丸扭轉-國泰綜合醫院過去十年之回顧與經驗
Retrospective Review of Testicular Torsion – Ten Years Experience in Cathay General Hospital
羅華安、王世鋒、蔡樹衛、洪巨軒、謝德生、林志明、陳國強
國泰綜合醫院 外科部 泌尿外科
Wah-On Lo、Shih-Feng Wang、Shu-Wei Tsai、Chu-Hsuan Hung、Teh-Sheng Hsieh、Chih-Ming Lin、Kuo-Chiang Chen
Division of Urology, Department of Surgery, Cathay General Hospital,Taipei, Taiwan, R.O.C.
Purpose
Testicular torsion is an emergency in Urology. It is also one of the leading causes of medicolegal problem. We would like to review retrospectively our cases in the past ten years in order to remind and make an alert in the future in the diagnosis and treatment of testicular torsion.
Materials and Methods
From 2005 to 2015, total 14 patients were diagnosed testicular torsion in the past ten years. The range of age is from 6 years old to 23 years old, mainly teenagers. All patients received exploration after diagnosis.
Results
In our series, total seven patients received orchiopexy. Unfortunately, total seven patients received orchiectomy. Delay in diagnosis is the main reason of leading to orchiectomy. We would like to investigate how to approach correct diagnosis and the time period from diagnosis to operation. At the same time, we would like to discuss the patients’ and the families’ factors.
Conclusion
Early diagnosis and prompt surgical correction are the key to treat testicular torsion successfully. Public education is most important. The first line doctors should also be keen on eye to avoid patients’ suffering.