Krarup T
Br J Urol. 1978 Feb;50(1):43-6. doi: 10.1111/j.1464-410x.1978.tb02764.x.
In torsion of the testis a large proportion of testes saved by surgery develop secondary atrophy. External manual reduction may be used as a first treatment, but surgical fixation is mandatory before the patient leaves the hospital. Prophylactic fixation of the contralateral testis should always be performed as 30% of the patients will otherwise develop symptoms. The preventive operation causes no discomfort to the patient and no harm to the testis. The fertility of the torsion patients is reduced. Patients treated for unilateral testicular torsion seem to have bilateral testicular abnormality resulting in decreased spermatogenesis.
在睾丸扭转中，很大一部分通过手术挽救的睾丸会发生继发性萎缩。手法复位可作为首选治疗方法，但在患者出院前必须进行手术固定。对侧睾丸预防性固定应常规施行，因为否则30%的患者会出现症状。预防性手术不会给患者带来不适，也不会损害睾丸。睾丸扭转患者的生育能力会降低。接受单侧睾丸扭转治疗的患者似乎存在双侧睾丸异常，导致精子发生减少。
