精索捻転症について : 自験4症例と文献的考察

概要

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Four cases of torsion of the spermatic cord were reported. An intravaginal torsion was noteD in all of them, having various degrees of twist (360°,180°,36°and 720°). Of 4cases, the first case, a 13-year-old boy, and the fourth case, a 28-year-old man, underwent orchiopexy successfully at 4 and 8 hours after the onset of sympioms, respectively. However, the ramaining two cases, a 2-year-old boy, and a 13-year-old boy were subjected to orchiectomy due to the delayed operation 11 and 9 days after the onset, respectively. Since Yoshimoto's report in 1977, an additional 42 cases of torsion of the spermatic cord have been reported in the recent Japanese literatures including the present series. We reviewed total 201 cases of the disease. The incidence of the disease in Japanese is not as rare as reported previously, and more than 20 patients each year. Like in the foreign literature, there are two separate ages of maximum incidence: the newborn and the puberty. Obviously, the sooner the patient is operated on, the better is the result. Twenty-four hours appear to be a maximum length of time for the testicular salvage. Finally, it is generally recommended that the opposite uninvolved testicle should be fixed during the same procedure. because the anomalous condition is frequently bilateral.
社団法人日本泌尿器科学会の論文
1979-08-20