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Testicular torsion is a serious disease, if not received within 12 hours if the treatment time will result in the loss of testicular necrosis in recent fertility. After being kicked If you is not very serious abdominal and testicular pain, and normal sex life, then I think you can rest assured that testicular torsion can not be. The reason why there is pain and other symptoms is likely to be minor injuries after playing in the healing and related testis and the spermatic cord vessels and nerves near the relative position of unusual induced by inflammation, coupled with worry about the psychological impact of fertility and life the result of the role. Ellipsoidal testes were normal, and bilateral testicular size are some differences, but not too much, usually just below the right side of the left is normal. In the upper part of each testis are relatively soft compared with the projections attached to the testis and epididymis testicular called upon, you can compare the relative position of testes, with the soft parts by the power of gentle rubbing testis and epididymis, but also can make another double testis rub, if there is no obvious difference in the pain, I think you can rest assured that, may just testicular inflammation. You can go to a local hospital professional men, or men with the professional services of hospitals, please check the relevant doctor and receive relevant treatment. Do not believe the ads.
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Testicular torsion testicular settled in the scr


otum, the left and right spermatic cord through an organization called the body connected to a long and promising testicular spermatic vessels to provide blood circulation, so the spermatic cord is the lifeline of the testis. Known as testicular testosterone causes mesangial through the organization and attached to the scrotum by the testes fixed in mesangial the testicles scrotum. Some of the fetus during development will result in one or both testicles mesangial too long after the birth of the activities of testis and spermatic cord to a great degree, if you get in a sudden or violent shock force, etc., on the testis and spermatic cord occur more than 360 degrees to reverse the symptoms of abrupt onset of testicular torsion, ferocious, the sick side of the testicles and scrotum will be severe pain. When beginning to reverse the pain in the scrotum is also limited, since the lower abdomen and perineum to the development, but will be accompanied by vomiting, nausea or fever, genital swelling, tenderness. Also will reverse the spermatic cord, spermatic blood vessels are blocked, the lack of blood supply to the testicle, if not treated in time, testicular necrosis occurs, the color black, gradually shrinking so that loss of function. The main clinical manifestations of testicular torsion is pain, swelling. If it occurs in children, diagnosis is often more difficult, usually of unknown cause in children would be anorexia, irritability, rapid development of the disease generally, and sometimes the diagnosis is often delayed because there is no treatment, causing unnecessary harm to patients. Diagnosis is based . Has a history of cryptorchidism or cremaster muscle contraction usually active adolescents and children. 2. Sudden onset of testicular pain, testicular swelling rapidly and with severe nausea and vomiting. 3. Testicular tenderness obvious prop can not be mitigated. Abnormal position of the testis and epididymis or palpation is not clear. 4.99m cast (99mTC) testicular scan, showed reduced risk of testis decreased perfusion. 5. Color Doppler ultrasound examination: reverse itself because of Erzhi testicular spermatic cord blood circulation disorders. Increase the performance of the ipsilateral testis, echo reduction, CDFI showed blood flow signals within which significantly reduced or disappeared. Check the need to identify 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 torsion, surgical exploration should be carried out immediately. 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. Nature of testicular torsion causes testicular torsion is 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. Prone to testicular torsion in the night or early morning. Treatment of testicular torsion (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. Surgical treatment of testicular torsion case of testicular torsion, the best treatment is surgery, surgical procedures including open reduction and two kinds of manual reduction. 1, operative reduction: the diagnosis of testicular torsion immediately after operative reduction should be to gain time, for the onset of symptoms within 6 hours to complete the operation. 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. Notes after testicular torsion can give ice to reduce postoperative pain and edema, but also with the scrotum with a T-supported fixed week, gradually returning to normal function. The care of a testicular torsion, preoperative care
A condition observed rapid changes in testicular torsion condition, delay in treatment may lead to testicular necrosis, early and timely observation of a clear diagnosis of the disease is very important. Should closely observe the situation of children with systemic and local signs, listen carefully to children's complaints, detailed history, physical examination good nursing care. 2 emergency psychological care because the patients were hospitalized, many parents of children with nervous and anxious. Nurses should be calm at this time calm, affable manner, release tension as much as possible, otherwise it will increase the stress response in children and parents. Hiding place in the scrotum, testicles and is the genitals, causing hazy sense of the male population is difficult to start. Therefore, nurses should inspire enthusiasm, tells about the pathophysiology and treatment of TT, and to be clear, the lifting of the burden of children and family members thought anxiety. 3 preoperative preparation of testicular tor 5 h, and manual reduction should be surgical treatment failure. Rapid routine preparation to do, every second counts early testicular surgery to save life, nurses, parents and children should be carefully introduced to the anesthesia and surgery-related knowledge, and your family to help relieve children's fears. Second, postoperative care after the children back to the ward routine nursing care according to surgical patients. Observe the situation closely cut, watch for local bleeding and hematoma, to avoid crying children. Bed 5-7 d, to avoid premature ambulation. Dressing for young children to avoid contamination by urine, if wet timely replacement. Reset should be observed testicular scrotal skin color, local swelling with or without pain. Third, the health guidance for the removal of ipsilateral testicular disease in children should not rush to tell them, until their strength gradually after the resumption of psychological counseling, indicating that the contralateral testis has the same physiological function, eliminate their inferiority complex. And inform children and parents: Children 1 month to avoid riding across sports, to avoid local severe concussion and other Yinnang intense activities to protect the contralateral testis, Ding Shi-patient follow-up.


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