Kết quả phẫu thuật xoắn tinh hoàn ở trẻ em tại Bệnh viện Trung ương Thái Nguyên

Abstract

Testicular torsion, also known as spermatic cord torsion, occurs when the spermatic cord twists around its axis, cutting off the blood supply to the testicle, which leads to ischemia and necrosis. The Objective of this study was to describe the clinical characteristics, perform doppler ultrasound of the testicles in patients diagnosed with testicular torsion, and gather testicular ultrasound results in patients with testicular torsion treated conservatively, and factors related to surgical indications for testicular torsion in children at Thai Nguyen Central Hospital. Results: The study included 59 patients. The average age of onset was 7.1 ± 4.5 years, with the highest proportion of cases (30.5%) occurring in the age group of 11 to under 16 years old. The most common symptoms were red and swollen scrotum, present in 90% and 95% of cases, respectively. Other frequently observed symptoms were a firm testicle (83%), sudden scrotal pain (76.3%), and an elevated position of the testicle in the scrotum (71%). The rate of testicular removal was 28.8%. Risk factors for testicular removal included the number of spermatic cord twists, the time to medical consultation, and the testicular color. Conclusion: Testicular torsion is a urological emergency. Early surgical detorsion can reduce the rate of testicular removal and prevent complications associated with delayed treatment of testicular torsion.