Schütte B, Becker H, Vydra G
Urologe A. 1986 May;25(3):142-6.
Of 86 patients who had undergone unilateral testicular torsion the fertility in 36 patients could be examined 1-9 years later. The testis in 27 patients (= 75%) was surgically untwisted. Of 9 patients (= 25%) the testis was removed because of marked hemorrhagic infarction. Fixation of the contralateral testis was prophylactically performed in all cases. The testis of all patients who had undergone the detorsion within the first 22 h were saved and there was no significant difference of the testicular volume compared with the contralateral side. An atrophy of the contralateral testis following prophylactical fixation was never observed. In most of the 36 patients the fertility was diminished: Seminal analysis revealed an oligozoospermia in 44%, a teratozoospermia in 20%, an asthenozoospermia in 20% and a normozoospermia in 16% only. This result was independent of the duration of the torsion. There was no difference in the group of patients with detorsion and the group with orchidectomy. The endocrinological examination revealed a statistically significant correlation between FSH and sperm density and between FSH and the duration of the torsion. But both correlation coefficients were less than 0.5 and are therefore without any clinical relevance. Testosterone, LH and prolactin were normal in all cases.
在86例接受单侧睾丸扭转手术的患者中，36例患者在1至9年后的生育能力得以检查。27例患者（占75%）的睾丸经手术复位。9例患者（占25%）因明显的出血性梗死而切除睾丸。所有病例均预防性地对侧睾丸固定术。所有在最初22小时内进行睾丸复位的患者的睾丸均得以保留，与对侧相比，睾丸体积无显著差异。从未观察到预防性固定术后对侧睾丸萎缩。在36例患者中，大多数患者的生育能力下降：精液分析显示，少精子症占44%，畸形精子症占20%，弱精子症占20%，正常精子症仅占16%。这一结果与扭转持续时间无关。睾丸复位组和睾丸切除组之间无差异。内分泌检查显示，FSH与精子密度之间以及FSH与扭转持续时间之间存在统计学显著相关性。但两个相关系数均小于0.5，因此无任何临床意义。所有病例中睾酮、LH和催乳素均正常。
