Post Date December, 02 2023
The boy's egg pain dragged the necrotic testicle
At the beginning of May, Lin Xiaoming (alias), a boy from a middle school in Guilin, suffered from testicular torsion due to careless exercise. However, he always believed that his epididymitis had a relapse. A week later, the examination found that the matter was in order.
On the day of the incident, Lin Xiaoming and his classmates were invited to play football together. After playing on the court for several hours, Lin Xiaoming felt a faint pain in his left scrotum, and the pain did not relieve until the rest at night. He thought that epididymitis had recurred, so he went to the clinic near the school for an injection. A week later, he felt more and more pain in his left testicle before he realized the seriousness of the problem.
After the boy was admitted to the hospital, he was given a series of examinations such as color Doppler ultrasound. " Back, when the results of color Doppler ultrasound came out, people were shocked.
Lin Xiaoming's testicle suffered from long-term ischemia due to torsion, and has been completely necrotic. The conventional treatment methods such as manual reduction and testicular fixation have been exhausted. The only way is to remove it as soon as possible.
"After testicular torsion, the testicle will have ischemic necrosis within 4 to 12 hours. Generally, after 6 hours, there is no way to treat it." The doctor reluctantly said that because Lin Xiaoming's condition has been delayed for a whole week, the affected testicle has been ischemic necrosis for many days, and must be removed as soon as possible to avoid causing other reproductive infections.
"Because of acute testicular torsion, if it is not treated in time within the 6-hour effective rescue period, the probability of testicular resection is very high." The doctor said, "We have not met patients like him for the first time. Because most of the patients are teenagers and lack relevant sexual health knowledge, many patients have delayed the best treatment time when they arrived at the hospital."
Acute testicular torsion needs prompt treatment
Acute testicular torsion most often occurs in teenagers aged 13 to 16 years old. It usually occurs in the middle of the night and in the early hours of the morning, with a relatively fierce attack. The most typical symptom is sudden severe pain in one side of the scrotum. Some scrotum surfaces are not red or swollen, and some are red and swollen. The testicle on the diseased side will be higher than that on the other side due to spermatic cord and muscle contraction. Touching the whole testicle can cause severe pain, and the patient may have nausea and vomiting.
At present, the etiology of testicular torsion is not very clear. It is generally believed that it is closely related to the congenital development of testicle and spermatic cord. The testis inside the scrotum is wrapped with a sheath. The position where the testis is suspended is the end of the spermatic cord. There are arterial veins, nerves, lymphatic vessels and vas deferens connecting the testis. Some boys have relatively long spermatic cord, and their testicles are more active in the scrotum, which is prone to testicular torsion. The testicle is very sensitive to ischemia and hypoxia. If it is slightly twisted, it may only feel temporary pain. If the distortion is excessive, the blood flow is blocked, and the testicle will be immediately ischemic. It is generally believed that if the diagnosis and treatment can be made within 3 hours, there is a chance to keep the twisted testicles. If this time is exceeded, necrosis will occur, and the testicles can only be removed, leaving a lifelong regret for the child. Therefore, once the diagnosis of acute testicular torsion is confirmed, immediate surgery is needed to restore the testicular torsion to ensure the recovery of testicular function.
Watch out for five bad habits. Be careful that they will make your eggs ache
1. Ischemic testicular pain: The symptoms of testicular ischemic pain are mostly seen in the elderly, and the pain is relatively severe. The pain is aggravated when the field is active, and it is properly relieved during rest. The prostate fluid is normal on microscopic examination, and the arterial stenosis is often caused by testicular arteriosclerosis.
2. Testicular torsion: It usually occurs after several hours of strenuous exercise, or because the testicle has been subjected to external force. Severe testicular pain occurs suddenly during sleep or quiet, which is the first symptom of the disease, and is also one of the main diagnostic bases for testicular torsion. Some patients are accompanied by scrotal swelling, nausea and vomiting, and obvious tenderness.
3. Varicocele: testicular distension and pain may also be related to varicocele. Varicocele is a common disease in young adults. It refers to the expansion, tortuosity and lengthening of the blood vessels in the racemose plexus of the spermatic cord caused by blood stasis of the spermatic vein. The incidence rate is 10-15% in the male population. This disease mostly occurs on the left side, but it is not uncommon for bilateral patients. Varicocele can be accompanied by testicular atrophy and sperm birth disorder, resulting in male infertility. The patients with mild symptoms and no spermatogenic dysfunction need not be treated. If the symptoms are serious or cause testicular spermatogenic dysfunction, they need to be treated by surgery.
4. Orchitis: There are many factors that cause orchitis, such as patients with epidemic mumps, which can be complicated with orchitis, and testicular pain and swelling; Gonorrhea is the sexually transmitted disease with the highest incidence rate at present, which can cause orchitis in severe cases; Chronic prostatitis can also cause testicular pain, which is characterized by unilateral pain, mostly dull pain or traction pain, and is persistent. Testitis is common in young people, but rare in the elderly.
5. Testicular injury: most of the testicular injuries are related to violence, car accidents, etc. After the injury, the patient's testicles suffer from severe pain, nausea, vomiting, and even fainting or shock.
