Redman J F, Barthold J S
Department of Urology, University of Arkansas College of Medicine, Little Rock, USA.
J Urol. 1995 Oct;154(4):1511-2.
Scrotal pouch orchiopexy without suture fixation will result in strong atraumatic fixation of the testis in the management of undescended testis. We describe a similar technique that is effective in the management of testicular torsion.
A total of 19 scrotal pouch orchiopexies was performed in 11 boys with testicular torsion. Age ranged from 10 to 17 years (mean 14). Orchiopexy was done using a scrotal pouch without transparenchymal suture fixation of the testis. The partial serosal sac was obliterated, placing the testis in a secured extravaginal position.
Followup ranged from 17 to 33 months (mean 25.6). There were no instances of infection, hematoma, wound dehiscence, atrophy or recurrent torsion.
Scrotal pouch orchiopexy as described is recommended to prevent torsion of the testis.
在隐睾治疗中，不进行缝合固定的阴囊袋睾丸固定术可实现睾丸的强力无创伤固定。我们描述了一种在睾丸扭转治疗中有效的类似技术。
对11例睾丸扭转男孩共实施了19例阴囊袋睾丸固定术。年龄范围为10至17岁（平均14岁）。采用不进行睾丸实质内缝合固定的阴囊袋进行睾丸固定术。部分浆膜囊被闭塞，将睾丸置于安全的鞘膜外位置。
随访时间为17至33个月（平均25.6个月）。无感染、血肿、伤口裂开、萎缩或复发性扭转的情况。
建议采用所述的阴囊袋睾丸固定术来预防睾丸扭转。
