Diagnosis and Treatment of Testicular Torsion

Objective To improve the diagnosis and treatment of testicular torsion.Methods The clinical data of 13 cases of testicular torsion were analyzed retrospectively.Results All the patients underwent the color Doppler flow imaging,demonstrated the reduction or loss of the testicular blood supply in 12 cases.The diagnosis of testis torsion was confirmed by surgical exploration.The involved testes were removed in 6 cases,while 7 cases were reserved by testis reduction.The contralateral testis fixation was performed in all the patients.The testes of the patients which was undergoing surgical management within 6 hours after the occurrence of testicular pain were salvaged.However,the testis was only reserved in one patient who was receiving surgical management between 6 to 12 hours.All the testes had to be resected due to testicular necrosis in those were undergoing surgical management after 12 hours.Conclusion The patients suspected with testicular torsion should receive surgical exploration within 6 hours,and color Doppler flow imaging was essential in the diagnosis.Early diagnosis and surgical intervention was crucial to avoid testicularnecrosis.