Why is testicular torsion necrotic?

summary

In daily life, we should try our best to avoid too intense exercise, so these diseases seem very small, but cause great harm to people's body, because testicular torsion may occur, if not treated in time, it can also lead to testicular necrosis. So let's share why testicular torsion is necrotic?.

Why is testicular torsion necrotic?

First, testicular appendage torsion and testicular torsion often occur in 6-20-year-old adolescents, which is easily misdiagnosed as inflammation. Patients with sudden pudendal pain usually occurs at night before going to bed or during sleep. Once found, they should go to the hospital immediately for examination. If they go to the hospital after daybreak, they are easy to miss the prime time of rescue.

Second: testicular torsion, also known as spermatic cord torsion, is due to severe exercise or violent damage to the scrotum, spiral attached to the spermatic cord, strong contraction of the levator muscle, leading to torsion and acute testicular blood circulation disorders. The scrotum is characterized by severe pain, radiation to the lower abdomen or medial thigh, nausea and other symptoms, testicular swelling and upward movement, and obvious tenderness. The spermatic cord was twisted and shortened like a hemp rope.

Third: testicular torsion can occur in all ages of men, with the highest incidence rate among adolescents aged 12 to 18. Potential congenital dysplasia, cryptorchidism and severe exercise are prone to testicular torsion. The best treatment time is within 6 hours of testicular torsion. If it is less than 12 hours, manual reduction can be tried to correct immediately. If manual reduction fails, testicular fixation can be performed. After 12 hours, the testis was obviously necrotic, and only orchiectomy could be performed on the affected side. Therefore, the occurrence of testicular pain, swelling and other conditions to timely treatment.

matters needing attention

If it is difficult to determine the survival of testis during operation, fluorescein can be injected to observe testis under ultraviolet light. When fluorescein was infused into the testis, the testis could survive and be preserved. Testicular prosthesis can be implanted at the same time or in two stages in patients with testicular necrosis.