The diagnosis and treatment of testicular torsion

Objective To evaluate the diagnosis and treatment of testicular torsion,and to improve the testis survival rate. Methods The clinical data of 30 cases of testicular torsion were analyzed.Results In the 30 cases of testicular torsion,18 cases were definitely diagnosed at first visit,and the other 12 cases were misdiagnosed as acute epididymitis.All the 30 cases underwent color Doppler ultrasonography,and operations research.The diagnose accordance rate of color Doppler ultrasonography accounted for 100%.16 cases were salvaged by orchidopexy,and 14 cases were treated with orchiectomy.The contralateral testis was per- formed preventive orchiopexy for all subjects.All the 30 cases were cured and discharged.Conclusion The color Doppler ultra- sonography is the first choice of diagnosing testicular torsion.Early diagnosis and prompt operation research is the key of survival of injured testis.The orchidopexy should be performed within 12 h after testicular torsion.The injured testis should be retented as possible within 12-24 h after testicular torsion.The orchiectomy should be carried out 24 h or longer after testicular torsion.