Schulsinger D, Glassberg K, Strashun A
Department of Urology, State University of New York Health Science Center, Brooklyn 11203-2098.
J Urol. 1991 May;145(5):1053-5. doi: 10.1016/s0022-5347(17)38531-2.
The importance of making an early diagnosis of intermittent testicular torsion cannot be over-emphasized. We report on 3 patients with recurrent episodes of severe testicular pain but who were pain-free at evaluation. All 3 patients were found to have a horizontal lie of the symptomatic testicle and a normal vertical axis in the contralateral asymptomatic testicle. Scrotal exploration revealed a bell-clapper deformity in all 3 patients. A history of recurrent scrotal pain and horizontal testicular lie, even in the absence of pain at the time of physical examination, is a strong indication for exploration and bilateral testicular fixation.
早期诊断间歇性睾丸扭转的重要性再怎么强调也不为过。我们报告了3例反复出现严重睾丸疼痛但在评估时无疼痛的患者。所有3例患者均发现患侧睾丸呈水平位，对侧无症状睾丸垂直轴正常。阴囊探查发现所有3例患者均存在钟摆畸形。即使在体格检查时没有疼痛，反复出现阴囊疼痛和睾丸水平位的病史也是进行探查和双侧睾丸固定的有力指征。
