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Testicular decompression and tunica vaginalis flap in human acute testicular torsion: modified step-by-step technique description and preliminary outcomes
Hidaka, Alexandre Kyoshi; Glina, Felipe Placo Araújo; Hayashi, Renan Murata; Smaidi, Khalil; Baccaglini, Willy; Pazetto, Cristiano Linck; Nascimento, Fabio José; Glina, Sidney.
Affiliation
  • Hidaka, Alexandre Kyoshi; Centro Universitário FMABC. Santo André. BR
  • Glina, Felipe Placo Araújo; Centro Universitário FMABC. Santo André. BR
  • Hayashi, Renan Murata; Centro Universitário FMABC. Santo André. BR
  • Smaidi, Khalil; Centro Universitário FMABC. Santo André. BR
  • Baccaglini, Willy; Centro Universitário FMABC. Santo André. BR
  • Pazetto, Cristiano Linck; Centro Universitário FMABC. Santo André. BR
  • Nascimento, Fabio José; Centro Universitário FMABC. Santo André. BR
  • Glina, Sidney; Centro Universitário FMABC. Santo André. BR
Einstein (São Paulo, Online) ; 21: eAO0220, 2023. tab, graf
Article de En | LILACS-Express | LILACS | ID: biblio-1448181
Bibliothèque responsable: BR1.1
ABSTRACT
ABSTRACT Objective To report the effects of a tunica vagina flap on testicular compartment syndrome. Methods This single-arm clinical trial was conducted from September 2020 to October 2021. Consecutive patients with suspected testicular torsion within 24 hours of pain onset were included. Patients with past testicular torsion, bilateral torsion, or previous atrophy were excluded. The tunica vaginalis was opened, and the intratesticular pressure was measured before testicular retrieval from the scrotum and detorsion (P1), after detorsion (P2), and after transverse incision (P3). A tunica vaginalis flap was performed and a new intratesticular pressure was recorded (P4). The contralateral testicular pressure was recorded before fixation (Pc). The minimum follow-up period was 6 months. Results Fifteen patients were recruited from September 2020 to October 2021. Nine patients completed the follow-up. The median age (range) was 15 years (9-19). The mean P1, P2, P3, P4, and Pc (range) were 43, 60, 23, 20, and 14mmHg, respectively. The atrophy rate was 66.3% and the viability was 88.9%. No major complications were observed. Conclusion The modified tunica vaginalis flap in acute testicular torsion decreased intratesticular pressure. Furthermore, normal testicular pressure can improve testicular preservation. It can also decrease testicular pressure to normal levels and preserve the testicular parenchyma.
Mots clés

Texte intégral: 1 Indice: LILACS langue: En Texte intégral: Einstein (São Paulo, Online) Thème du journal: Medicina Année: 2023 Type: Article

Texte intégral: 1 Indice: LILACS langue: En Texte intégral: Einstein (São Paulo, Online) Thème du journal: Medicina Année: 2023 Type: Article