Alzahrani Meshari A, Alasmari Mishal M, Altokhais Moataz I, Alkeraithe Fawaz W, Alghamdi Talal A, Aldaham Abdulaziz S, Hakami Alwaleed H, Alomair Saud, Hakami Basel O
Department of Urology, College of Medicine, Majmaah University, Al-Majmaah, Saudi Arabia.
College of Medicine, King Khalid University, Abha, Saudi Arabia.
Res Rep Urol. 2023 Feb 22;15:91-98. doi: 10.2147/RRU.S404073. eCollection 2023.
Testicular torsion is a serious urologic emergency that can present with unusual or atypical history and examination. Classical pain from testicular torsion is of sudden onset, significantly severe, and is accompanied by nausea and vomiting. However, in some patients, the initial scrotal pain appears to considerably subside within the next few hours. In others, testicular torsion tends to occur while sleeping, and many patients recount a history of being woken up from sleep by intense pain. Furthermore, some patients in this subset can resume normal activities and even sleep through the night with little or no discomfort, without a perceived need for pain medications. Other patients initially experience mild pain, which worsens over time. Consequently, these patients are less likely to be evaluated immediately. In view of these atypical cases, the question remains unanswered regarding sleep as a predisposing factor for testicular torsion. This narrative review focuses on exploring the association between sleep and testicular torsion.
睾丸扭转是一种严重的泌尿外科急症，其病史和检查结果可能不寻常或不典型。睾丸扭转引起的典型疼痛起病突然，非常剧烈，并伴有恶心和呕吐。然而，在一些患者中，最初的阴囊疼痛在接下来的几个小时内似乎会明显减轻。在另一些患者中，睾丸扭转倾向于在睡眠时发生，许多患者讲述有因剧痛从睡眠中惊醒的病史。此外，这一亚组中的一些患者可以恢复正常活动，甚至整夜睡眠几乎没有不适，也感觉不需要使用止痛药物。其他患者最初经历轻度疼痛，随着时间的推移疼痛会加重。因此，这些患者不太可能立即接受评估。鉴于这些非典型病例，睡眠作为睾丸扭转的一个诱发因素这一问题仍未得到解答。本叙述性综述重点探讨睡眠与睾丸扭转之间的关联。
