Untwisting in Delayed Treatment of Torsion of the Spermatic Cord

A case of traumatic testicular torsion associated with a ruptured epididymis

“…Most surgeons advocate early exploration of enlarging scrotal masses following blunt trauma as there seems to be a direct relationship between testicular salvage and early operative intervention 6 . Based on the present case and previous reports it is suggested that another indication for surgical exploration of a traumatic scrotal mass is to help establish a diagnosis of traumatic testicular torsion 3,7 . This is important as it may otherwise be very difficult to make such a diagnosis at the time of an acute injury as previously mentioned.…”

“…Torsion of the testis has been recognized as early as 1840 by Delasiauve and the published data seem to suggest that trauma might be responsible for 5–6% of testicular torsions 1–3 . However, torsion occurring with a hematoma has been rarely reported.…”

Segmental Ischemia in Testicular Torsion

“…Th e orchiectomy rate has declined to 2% to 34% in the era of advanced imaging (1,3). Th e timing of surgery after the onset of testicular torsion is the most important parameter for saving testicular tissue (5).…”

Der Einfluß des torquierten Hodens auf den kontralateralen Hoden nach experimenteller Hodentorsion bei Ratten

“…Die vorgestellten Untersuchungen wurden durchgeführt, um die oft beobachtete Gewebsatrophie im angeblich "geretteten Hoden" nach kontralateraler Hodentorsion (5,17,18,28) ebenso wie die Möglichkeit von autoimmunologischen Reaktionen mit einer Bildung von Spermaantikörpem zu überprüfen (4,11,12,26,27,32,33) sowie die Ergebnisse von Krarup (18), der qualitativ und quantitativ minderwertiges Sperma bei Kranken nach einer Hodentorsion beobachtete. Ludwig und andere (20,21,8,24) haben zwar keinen derartigen Einfluß auf den kontralateralen Hoden beobachtet, hielten es jedoch rur zweckmäßig, weitere Untersuchungen in dieser Richtung durchzuführen.…”