Domínguez Hinarejos C, Vivancos Garbayo S, Bonillo García M A, Serrano Durbá A, García Ibarra F
Departamento de Cirugía Pediátrica, Sección de Urologia Infantil. Hospital Infantil La Fe, Valencia.
Actas Urol Esp. 2007 Jan;31(1):49-51. doi: 10.1016/s0210-4806(07)73594-5.
Torsion of a cryptorchidid testicle presents a non-specific symptomatology. Clinical suspicion indicates surgical exploration, irrespective of Doppler ultrasound with its inherent false negative results. With regards to treatment, an orchiectomy is performed when the testis is necrotic. Management of the contralateral testis is controversial. Our policy is not to fix them systematically because we believe that a healthy education of parents and children is more important, so as to obtain an earlier diagnosis of a future torsion.
隐睾扭转表现出非特异性症状。临床怀疑提示需进行手术探查，无论多普勒超声检查结果如何，因其存在固有的假阴性结果。关于治疗，当睾丸坏死时进行睾丸切除术。对侧睾丸的处理存在争议。我们的策略是不常规对其进行固定，因为我们认为对家长和孩子进行健康教育更为重要，以便能更早诊断未来可能发生的扭转。
