Şener Nevzat Can, Bas Okan, Karakoyunlu Nihat, Ercil Hakan, Yesil Suleyman, Zengin Kursad, Imamoglu Abdurrahim
Department of Urology, Numune Teaching and Research Hospital, Ministry of Health, Adana, Turkey.
Department of Urology, Abdurrahman Yurtarslan Onkoloji Teaching and Research Hospital, Ankara, Turkey.
Biomed Res Int. 2015;2015:320780. doi: 10.1155/2015/320780. Epub 2015 Jan 14.
Objectives. To report our experience and present the largest series of testicular torsion cases in the inguinal canal. Material and Methods. The clinical data of 13 patients with testicular torsion in the inguinal canal treated between 2005 and 2013 were reviewed. Recorded patient age, whether the testes were palpable or not, side of the affected testes, the presence of hernia, ischemia time, and operation outcomes were assessed. Results. Patient age ranged from 8 to 70 months (29.15 ± 20.22). Mean ischemia time was 16.5 ± 21.3 hours. Accompanying inguinal hernia was present in 92% of the cases (12/13). Four of the thirteen patients (30.8%) were treated by orchiectomy because the necrosis was present after prolonged ischemia time. Nine patients (69.2%) were treated by single session orchidopexy. Conclusion. Torsion of testes in the inguinal canal is a rare disease, but with rapid diagnosis, affected testes can be salvaged, but the key factor is to keep this condition in mind.
目的。报告我们的经验并展示腹股沟管内睾丸扭转病例的最大系列。材料与方法。回顾了2005年至2013年间治疗的13例腹股沟管内睾丸扭转患者的临床资料。评估记录患者年龄、睾丸是否可触及、患侧睾丸、是否存在疝气、缺血时间及手术结果。结果。患者年龄范围为8至70个月（29.15±20.22）。平均缺血时间为16.5±21.3小时。92%的病例（12/13）伴有腹股沟疝。13例患者中有4例（30.8%）因长时间缺血后出现坏死而行睾丸切除术。9例患者（69.2%）接受了单次睾丸固定术。结论。腹股沟管内睾丸扭转是一种罕见疾病，但通过快速诊断，患侧睾丸可得以挽救，关键因素是要牢记这种情况。
