Preoperative manual
detorsion of the spermatic cord with Doppler ultrasound monitoring in patients with intravaginal acute testicular torsion.
Multiple series including two meta-analyses by Visser and Heyns report testicular salvage rates of 90% if
detorsion is performed within 6 hours of the onset of symptoms, 50% at 12 hours and 10-25% at 24 hours.
Attempting to save the testis via
detorsion was not feasible, we performed a left orchidectomy.
Rapid diagnosis and treatment is key to successful
detorsion.
Untwisting or testicular
detorsion (TD) further aggravates the condition and leads to the generation of reactive oxygen species (ROS).
Dans les autres cas, le testicule a ete recupere apres
detorsion et un abaissement dans le meme temps operatoire a ete realise.
Following
detorsion, the question is to mobilize the testis and perform scrotal orchidopexy or postpone this definitive surgical treatment.
The torsed testicle may undergo spontaneous
detorsion.
The
detorsion procedure was performed again under sterile conditions, after 6 hours of testicular torsion.
There are a few advocates of manual
detorsion of the twisted testis under narcotic analgesia, but it is yet unclear whether this maneuver increases the salvage rate in torsion.
The normal testicular perfusion map in the control group is illustrated in Figure 2; the BF perfusion maps of torsion and
detorsion of the left testicle is demonstrated in Figure 3 and Figure 4.
The normal testicular perfusion map in the control group, the BF perfusion maps of torsion and
detorsion of the left testicle can be seen in the figures (for the longer version of this article including the figures, please see the online version at www.
