Sancaktutar Ahmet Ali, Bozkurt Yaşar, Önder Hakan, Söylemez Haluk, Atar Murat, Penbegül Necmettin, Ziypak Tevfik, Tekbaş Güven, Tepeler Abdülkadir
Department of Urology, Faculty of Medicine, Dicle University, 21100, Diyarbakır, Turkey.
J Androl. 2012 Sep-Oct;33(5):984-9. doi: 10.2164/jandrol.111.015560. Epub 2011 Dec 29.
The goal of our prospective study was to measure the effect of a new standard model male gonad shield on the testicular radiation exposure during routine abdominopelvic computed tomography (CT). Two hundred male patients who underwent upper abdominal and pelvic CT examinations were included in our study. To prepare the testes shield (TS), 2 No. 8 fluoroscopy radiation-protection gloves made of bismuth (0.35 mm lead equivalent) were used. These gloves were invaginated into one another and their fingers were turned inside out. Scrotums of all patients were pushed into these lead-containing gloves. Upper abdominal CT (n = 6), pelvic CT (n = 9), and abdominopelvic scanning (n = 185) were performed. Immediately after the CT examinations and at postprocedural day 1, the scrotal examinations were repeated. None of the patients exhibited scrotal laceration, edema, eruption, erythema, tenderness, or pain. During the CT examinations, 22 patients (11%) felt unrest because of their exposed genital regions, without any adverse effect on the procedure. Dosimetric measurements of radioactivity inside the TS (dosimeter I) and outside it (dosimeter II) were 6.8 and 69.00 mSv, respectively. Accordingly, the TS we used in our study reduced the radiation exposure of the testes by 90.2% (10.1 times). We think that the use of this radioprotective TS during radiological diagnostic and therapeutic procedures is an appropriate approach from both a medical and legal perspective. Therefore, we recommend this userfriendly, practical, low-cost, and effective TS for all radiologic procedures.
我们前瞻性研究的目的是测量一种新型标准男性性腺防护装置在常规腹部盆腔计算机断层扫描（CT）期间对睾丸辐射暴露的影响。200例接受上腹部和盆腔CT检查的男性患者纳入我们的研究。为制备睾丸防护装置（TS），使用了2只由铋制成（铅当量为0.35mm）的8号透视辐射防护手套。将这些手套相互套入，手指外翻。所有患者的阴囊被放入这些含铅手套中。进行了上腹部CT（n = 6）、盆腔CT（n = 9）和腹部盆腔扫描（n = 185）。CT检查后立即及术后第1天重复进行阴囊检查。所有患者均未出现阴囊撕裂、水肿、皮疹、红斑、压痛或疼痛。在CT检查期间，22例患者（11%）因生殖器区域暴露而感到不适，但对检查过程无任何不良影响。TS内（剂量仪I）和外（剂量仪II）的放射性剂量测量分别为6.8和69.00 mSv。因此，我们研究中使用的TS使睾丸的辐射暴露减少了90.2%（10.1倍）。我们认为，在放射诊断和治疗过程中使用这种辐射防护TS，从医学和法律角度来看都是一种合适的方法。因此，我们推荐这种使用方便、实用、低成本且有效的TS用于所有放射学检查。
