PREVENTIVE ORCHIOPEXY IN TREATMENT OF CHILDREN WITH TESTICULAR TORSION

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Abstract

Materials and methods: 472 case histories of patients with testicular torsion were analyzed. In 24 cases, there was a bilateral asynchronous testicular torsion. Preventive fixation of the contralateral gonad followed the first episode of torsion as per the original method.

Results: a more favourable course of contralateral testicular torsion was demonstrated in spite of the similar torsion degree due to the fastest appealibility as parents and patients are well informed. It is shown that the contralateral testicular fixation has no complications being an effective means of asynchronous torsion prevention.

Conclusion: preventive contralateral orchiopexy is indicated to all patients with testicular torsion as it effectively prevents the asynchronous torsion and has no complications.

About the authors

D. N. Shedrov

Yaroslavl Regional Children’s Clinical Hospital

Author for correspondence.
Email: shedrov.dmitry@yandex.ru

Dmitry N. Shedrov 

27, Tutaevscoe shosse, Yaroslavl

Russian Federation

I. A. Beresnyik

Yaroslavl Regional Children’s Clinical Hospital

Email: fake@neicon.ru

Igor A. Beresnyik

27, Tutaevscoe shosse, Yaroslavl

Russian Federation

References

  1. Shimizu F., Tsounapi P., Dimitriadis F., Higashi Y., Shimizu T., Saito M. Blocking of the АТР sensitive potassium channel ameliorates the ischaemia – reperfusion injury in the rat testis. Int. J. Urol. 2016; 23 (6): 454–463. doi: 10.1111/j.2047– 2927.2014.00199.x.
  2. D’Andrea A., Coppolino F., Cesarano E., Russoli A., Cappabianca S., Genovese E. A., Fonio P., Macarini L. US in the assessment of acute scrotum. Critical Ultrasound Journal. 2013; 5: 1–8. https://doi.org/10.1186/2036-7902-5-S1-S8.
  3. Эрвинович А. А. Оптимизация лечебно-диагностической программы ведения острых заболеваний яичка в детском возрасте: дис. … к. мед. наук. Москва, 2012.
  4. Snodgrass T. Warren. Pediatric Urology. Evidence for Optimal Patient Management. New York:Springer; 2013.286 р.
  5. Lee C. Zha., Lautz T. B., Meeks J. J., Maizels M. Pediatric Testicular Torsion Epidemiology Using a National Database: Incidence,Risk og Orchioectomy and Posside Measures Toward Improving the Quality of Care. Urology. 2011; 186: 2009–2012. DOI: http://dx.doi.org/10.1016/j.juro.2011.07.024.
  6. W.-B. Shill, F. N. Comhaire, T. V. Hargrive. Andrology for the Clinician. Berlin Heidelberg: Copyring Springer-Verlag; 2006. 800 р.
  7. Biplah N., Feilim L. M. Neonatal testicular torsion: a systematic literature review. Pediatr Surg Int. 2011; 27: 1037–1040.
  8. Белый Л. Е. Перекрут яичка: патогенез, диагностика, лечение // Сибирское медицинское обозрение. 2011; Е.68 (2) с. 11–17.
  9. Комарова С. Ю., Цап Н. А., Чукреев В. И. Особенности консервативной и оперативной тактики при перекруте яичка // Детская хирургия. 2016; 20 (4) с. 185–188.
  10. . Баиров А. Г., Александров С. В., Кашин А. С., Зайцева Н. А., Поляков П. Н. Опыт лечения пациентов с острыми заболеваниями органов мошонки // Сборник материалов IV Всероссийской конференции с международным участием «Неотложная детская хирургия и травматология» 2016, 14–15 февраля. Москва, 2016.

Copyright (c) 2017 Shedrov D.N., Beresnyik I.A.

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