Patient: On April 4, 2008, the child (15 years old) said that he had pain in his right lower abdomen and went to the hospital, saying that it was appendicitis, and he was operated on the same day. 8:00 am on April 7, the right testicle was found to be red and swollen, and there was no blood supply in the ultrasound, so he was diagnosed with torsion of the right testicle, and he was operated on the same day at 10:00 am. During the operation, hot saline was applied for more than half an hour, and the color changed from black and purple to red, so it was stitched up.
Laboratory tests.
Ultrasound was done on April 25 and again on May 7. Ultrasound description: The right testicle was slightly smaller in size, slightly less regular in shape, with the long axis deflected inward, hypoechoic and less uniform, and no colored blood flow was seen inside. A mixed echogenicity, seemingly swirling, was seen above the right testicle, traveling along the spermatic cord, and abundant colored blood flow was seen.
Now it has been almost 3 months, it has become smaller, harder and has shrunk. Some doctors say secondary surgery to remove it, some say no, it’s fine to leave it. I would like to ask you if it should be removed or not? I read on the internet that.
The necrotic testicle can pass the blood-testis barrier in the body and form anti-sperm antibodies, which can easily affect the function of the other testicle
What does this mean? What does this mean? I’m not sure if I have to remove it! Li Wenhua: 1. If the testicle has clearly atrophied and lost its function, surgical removal should be considered. Because the atrophied testicle will cause the opposite testicle
The testicles are usually not affected by sexual function, but may have an effect on sperm production, and should be followed up closely.
3. It is important to note that it is not known whether the testicular fixation on the healthy side was performed in the last surgery, if not, the testicular fixation on the healthy side should be performed at the same time when orchiectomy is performed to prevent the torsion of the healthy testicle. This is because the anatomical defect of testicular torsion is often bilateral.