Diagnosis 、 treatment and invenstigation of testicular torsion

Objective: To decrease the misdiagnosis of testicular torsion and improve the diagnosis and treatment of testicular torsion . Methods: The clinical data of 19 cases of suspected testicular torsion were retrospectively analyzed. Results: Two patients were treated by spontaneous detorsion under anesthesia and 17 treated by surgery in 19 patients aged 10~51years old (mean 21 ),among whom 15 were proved to be testicular torsion and 2, acute epididymitis. Of the 15 cases of testicular torsion, 10 were spermatic cord torsion and 5, testicular torsion. The time from onset of acute scrotum pain to hospital for examination was 2 hours to 10 days. The accurary rate of final diagnosis with color Doppler was 88.1 %. All the 19 cases had acute scrotum pain, with the red and swelled skin of the scrotum, and 18 cases showed Prehn( + ). Conclusion: Patients with acute scrotum pain especially with red and swelled skin of the scrotum should be examined with color Doppler as early as possible. Emergency operation will be important to avoid testiculus necrosis in the suspected testicular torsion.