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*** Days left testicular torsion in children necrosis excision, if done right testis fixationWant kind of help: 1 children accidentally reverse the necrotic left testis removed, it should do the right testis fixation. (The first two months has also found the right hydrocele, is now normal, but there are some micro- Stone Disease)
2 If you do not do it right orchidopexy surgery, there are risks or complications like it? Testicular fixation can not do itThe last treatment the hospital:
Posted at Li Wenhua doctor replies: left testicular torsion in children necrosis excision, if done right testis fixation
Aviation Industry Central Hospital, 2 #, deputy chief physician of Urology
Best to implement the right testis fixation, the right not to have to reverse if possible, and patients who had had contralateral testicular torsion higher than normal probability of occurring. Of course, just possible, if not reversed, there will not be any consequences. Li Wenhua Aviation Industry Central Hospital UrologyLi Wenhua doctor Posted at I *** 3 #, and his days of sharingPosted at Li Wenhua doctor Aviation Industry Central Hospital, 4 #, deputy chief physician of Urology
Testicular microlithiasis is equal to the Priebe was first reported in 1970. Doherty first described in 1987 with testicular microlithiasis (TM) the sonographic features. The incidence of TM from 0.6% -20.% Average 3.3%. TM patients, the incidence of male infertility in 17% o-23%, the TM is a relative


ly rare disease, its treatment and prevention is not clear. Thomas and so that the current for infertility caused by TM intracytoplasmic sperm injection (ICSI) is the best way. Had earlier that TM is a benign disease, but with the increase in reported cases and in-depth understanding of the disease, people gradually found that TM tendency of testicular cancer occur. Most scholars believe that the TM and the close relationship between testicular cancer, especially for combined TM infertility patients, after the discovery of the disease should be every 6 to 12 months follow-up 1. Follow-up should include physical examination of testis, in particular ultrasound, in order to detect testicular cancer, and tumor markers, abdominal and pelvic CT, testicular biopsy is not necessary. Patients diagnosed in childhood should be followed up to adults. Li Wenhua Aviation Industry Central Hospital UrologyLi Wenhua doctor Posted at I *** 5 # and his days of sharing
Thank you, Dr. Li, another point would like to ask, have testicular microlithiasis, will cause tumors, cancer prevention should be how to prevent it,
Posted at # 6 *** days to communicate with him
There is also a question to ask that, if done after the children found to have early symptoms of cancer, then, from drug treatment, or do what must be castrated
Posted at Li Wenhua Center Dr. # 7 of the aviation industry, deputy chief physician of Urology
No specific preventive measures can only be reed on a regular basis, early detection and early treatment. Of course, this trend is not testicular cancer will occur.
Li Wenhua Aviation Industry Central Hospital UrologyLi Wenhua doctor Posted at I # 8, and his days of sharing ***
Dr. Xie Xieli, there is a question to ask about, to see children with hemorrhoids is to do pediatric surgery or urology
Posted at Li Wenhua Aviation Industry Center Dr. # 9, deputy director of Physicians UrologyLi Wenhua Aviation Industry Central Hospital UrologyLi Wenhua Posted at my doctor
A 19-year-old young men, 5 o'clock in the morning, the left scrotum suddenly cramps, accompanied by left lower abdominal pain, nausea and vomiting; and occurs in the bottom of a piece of the left groin mass, gradually increasing. Medical examination revealed a 4 under the left groin
Cause and effect: testicular torsion is not uncommon, can occur from newborns to the elderly, but children and the high incidence of 20-25 years of age. This is broken, testicular necrosis may be removed. The longer the delay, the possibility of testicular greater loss of function, when the time even if the testicle is not removed, and is often prolonged due to ischemia caused by testicular sperm function generated by the destruction of testicular atrophy, reversing the nature of reason - as is genital malformation. If you exercise, trauma, sleep cremaster muscle stimulation, the contraction increased, resulting in cremaster muscle fiber showing spiral, with the weight of testes, in particular, only one cryptorchid testes are more exposed hair disease. Prone to testicular torsion in the night or early morning. Self-examination: a sudden you can not exercise, I feel the side of the scrotum, swelling, tenderness, severe pain, the pain spto the lower abdomen, groin or thigh; Not only that, nausea, vomiting, fever after another. Medical treatment: the early testicular torsion, with about half an hour of the "hand reset" operation that is able to obtain good effect, but the incidence over time, only surgery. Testicular torsion is usually six hours, it will cause irreversible damage, so that testis must be removed. Mild pain was very severe testicular torsion, but can quickly relieve a little after the break, after dressing the general activities; the event of a heavier hit, hit, pinch, and so on, severe pain occurs, will place severe shock. It happens, even after the treatment the doctor to do routine examination of semen, to understand the disease side of the testicular function, which is for unmarried men is particularly important. Testicular need to reverse the check identification of the following diseases: 1. Acute epididymitis: Patients often have fever, purulent urine cells or cells can be seen, mainly inflammation. 2. Scrotal hematoma: these patients are obvious history of trauma. 3. Hydrocele: This is a chronic progressive disease, under normal circumstances would not hurt. 4. Epididymis testicular torsion: young people of these diseases is generally multiple. If patients with testicular swelling, no fever, the doctor will suspect that it was testicular reversed, to immediate laparotomy. Testicular reversal surgery is a reliable and effective treatment, not only can be treated with torsion of the testis, but also healthy testicle can prevent disease. Surgery, as the case should be treated. Testicular surgery was dark purple can be seen, the "reverse of cannabis," release, the observed recovery of blood circulation, less than half an hour, if the gradual return of blood to run, the testicles gradually Black and Purple red, indicating shorter lesions, testicular function has been restored, can be retained. If the color is not restored testicular surgery, then had necrosis, should be removed. Because in recent years, medical research found that testicular necrosis by the body's blood-testis barrier, the formation of anti-sperm antibodies, likely to influence the other side of testicular function. In addition to general surgery for treatment of testicular torsion, the usually healthy side of the testicle should be fixed, because the incidence of risk on both sides are often similar to the side of the disease, the incidence of other side will sooner or later. A reversal of testicular testosterone causes reversal of nature are not uncommon, can occur from newborns to the elderly, but children and people aged 20 to 25 incidence. This is broken, testicular necrosis may be removed. The longer the delay, the possibility of testicular greater loss of function, when the time even if the testicle is not removed, and is often prolonged due to ischemia caused by testicular sperm function generated by the destruction of testicular atrophy, reversing the nature of reason - as is genital malformation. If you exercise, trauma, sleep cremaster muscle stimulation, the contraction increased, resulting in cremaster muscle fiber showing spiral, with the weight of testes, in particular, only one cryptorchid testes are more exposed hair disease. Testicular reversal prone at night or early morning. Testicular reversal treatment (1) damage blood network card master card; testicular or scrotal swelling, pain, skin color, ecchymosis, tenderness obvious, red tongue with petechia, pulse string astringent. Therapeutic principle: promoting blood circulation, reduce swelling and pain. Recipe: blood Shujin Prescription II. (2) blood stasis Card Master Card: injury tingling testicles, scrotum dark purple skin color, testicular atrophy hard dispersed or tongue side of purple, astringent pulse. Therapeutic: qi circulation. Recipe: Three blood stasis recipe. Notes testicular surgery after reversal of ice can give in order to reduce pain and edema, but also with the T supports fixed week with the scrotum, so that gradually restore normal function. Reversal of the surgical treatment of testicular testosterone reversed the event, the best treatment is surgery, surgical procedures, including open reduction and two kinds of manual reduction. One, open reduction: making the diagnosis of testicular reversed immediately operative reduction should gain time, for the onset of symptoms within 6 hours of surgery. Will reverse the normal testicular blood flow observed after reset, re-testes, spermatic cord and scrotum, the inner sheath interrupted suture to prevent recurrence. Such as intraoperative findings testicular blood circulation is extremely poor and can not be restored after reduction should be castrated. 2, the manual reduction: a trial in early disease in general. Should be given analgesics and antispasmodic agents, half an hour after the transverse and the mention of the testes were gentle manipulative reduction. Reset after the success of "D" word scrotum with a hold up, so that ipsilateral testicular plenty of rest. But the approach does not prevent relapse after a reset.


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