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General hospital Celje (SBCE)
  • Akutni skrotum = Acute skrotum
    Janež Bizjak, Majda ; Bizjak, Igor
    Background. Aims to find out the life period of a child in which torsio testisand torsio appendage testis and epididymis are the most frequent. Aims to find out the value of the pre-surgical time as ... to preserve the testis. patients and methods. Into an retrospective study we have included 105 boys. Surgical operations because of an acute skrotum were performed on them in the urological ward and the children's surgical ward of General Hospital Celje. Results. Out of 105 boys, who were in General Hospital Celje operated due to the acute scrotum, were 28% cases of torsio testis and 69% of torsio appendagetestis and epidedymis and 3% of acute idiopatic scrotal edema. The largest number of torsio testis occured after the age of 14 (18 times out of 29). In the age group from 2 to 14 years we had the largest number of torsio appendage testis and epididymis (61 times out of 72). At the torsio appendage testis and epididymis we didn't have any testicles removal. At the torsio testis we had 8 semi-castrations at the operation and 4 testis atrophies at the controls (efficiency - 59%). The efficiency depends on the pre-operating time. All testicles removals due to vascular affection were in cases with a 24-hour history of illness. The ultrasound scan of testis was used in 25 cases. Conclusions. We have ascertained that the most cases of children with torsio testis occured in the first year of life and at the age from 15 to 20 years. The most torsio appendage testis and epididymis cases were in the age of pre-puberty. To preserve the testis at torsio the soonest surgical intervention is necessary. Testis was preserved in 17 cases out of 29 torson (59%). All the semi-castrations (8) were within more than a 24-hour history ofillness. At torsio appendage testis and epididymis there were no losses of testicles. The ultrasonic diagnosis was used in case of indistictness at diagnosing (24%). *Abstract truncated at 2000 characters.)
    Type of material - article, component part
    Publish date - 1997
    Language - slovenian
    COBISS.SI-ID - 6778073