Sunday, January 13, 2013

Which are the clinical symptom of torsion of testis?

Which are the clinical symptom of torsion of testis?
The torsion of testis means the testis has been rotated on its original position, cause the spermatic cord supplying its blood and transporting to twist together, if can not get and reset in time, will cause serious consequences such as testis necrosis,etc..
The testis is not very rare in torsion, but most people, include it is insufficient that some medical workers know to this disease, so the misdiagnosing rate is extremely high. Often misdiagnose for diseases such as acute orchitis, acute epididymis inflammation, inlaying hernia once,etc. and affect adversely, treat.
The clinical characteristic substantially as can grasp torsion of testis ing, may discern early, avoid the emergence of the malignant consequence.
1.Teenagers are in order to send age. Though any age may happen, meet more with infant and pre-school children and teenagers. While analyzing, have illness coming on in 718 for one on average age is 14.9 years old. So parents, teacher should all care about child and students' relevant symptoms closely, don't delay seeking medical advice because they will not tell or shy bringing the matter up.
2.Movement sum is quiet can have illness coming on too. About half the have illness coming on after fierce sports, after such as having physical education or game activity; But 40% are standing up constantly during peace and quiet or sleep, the testis is being always pinched between two legs while lying on one's side, it should be obvious to press comparing with the time of standing, so is easy to turn back.
3.Some inborn factors are apt to cause this disease. As bad as testis development, can not drop completely (especially inguinal cryptorchidism) Or the spermatic cord is too long,etc., inducement of torsion of testis may take place.
4.Common symptom unexpected the intersection of scrotum and angina, involve underbelly, dare frank waist, pain can be very violent, the slightly big child knows hands and seals the perineum, bend the waist to crook and carry, look pale, the cold sweat of whole body; There are swelling on testis,on if you can't contract, present horizontal by location,to touch a tender spot is obvious, it is can last pain not to raise by scrotum. If the child is young, will not say, parents or teachers should check these positions carefully.
5.Turn back the testis, can ischemic necrosis happen within 4- 12 hours. Should race against time to diagnose clearly, can't affect adversely and rescue the opportunity definitely. Can try the tactics to reset after diagnosing clearly, the general left side should be in the clockwise direction, rotate and reply laterally counterclockwise in right. But does not totally accord with this kind of law either. Pain and lighten if transferring to replying, show the direction is correct; If pain is aggravated, show the direction wrong, should try rotating in the opposite direction; If pain is not lightened yet, namely fail. Should perform the operation immediately to ascertain, save the testis ahead of testis necrosis.
6.Testis necrosis is excised on one side, often diastaltic reduction of the blood flow while having illness coming on too of offside testis, continue and take place the regression change of precise system, even influence the fecundity for the future. So should take to the offside testis, raise, mentions hanging, massage, physiotherapy,etc. and protects the obtaining measure, in order to save its fecundity from damage.
The editor recommends:The reason why the testis is painful is explained in detail
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