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Geç başvurulu akut skrotumlu olgularda 14 yıllık deneyim

Yıl 2005, Cilt: 36 Sayı: 3, 129 - 132, 01.04.2005

Serdar Sander Mehmet Eliçevik Murat Ünal Ayşenur Cerrah Celayir

Öz

Objective: The aim of this study is to evaluate the 14 years' clinical experience in children with acute scrotum and to discuss the role of surgery for acute scrotum in delayed presentation. Methods: Of 156 boys with acute scrotum, 98 (63%) were operated for suspected torsion between 1987 and 2001. Clinical records are evaluated retrospectively regard to surgical indications, findings of operation and outcome. Results: Testicular torsion (n=38, 39%), appendix testis/epididymis torsion (n=21, 22%), epididymoorchitis (n=20, 20%), acute/infected hydrocele (n=12, 12%), and hematocele (n=7, 7%) were diagnosed in 98 children. The mean admission time was found 4.5 days (1-10 days) in testicular torsion group while mean age was biphasic (15 days and 7 years). Only two testes from 38 patients with unilateral testicular torsion saved from being lost to torsion. These two patients had admitted with one and two-day history. Conclusion: Physical examination in cases with acute scrotum is reliable for deciding to operate immediately, when diagnostic facilities are not available during 24 hours in the institution. We suggest that surgical exploration is necessary even in cases of testicular torsion with delayed admission.

Anahtar Kelimeler

Retrospective Studies Spermatic Cord Torsion Child

Kaynakça

  • Arda IS, Özyaylalı I. Testicular tissue bleeding as an indicator of gonadal salvage ability in testicular torsion surgery. BJU Int 2001; 87: 89-92
  • Lewis AG, Bukowski TP, Jarvis PD, et al
  • Evaluation of acute scrotum in the emergency department. J Pediatr Surg 1995; 30: 277-281
  • Cass AS Elective orchiopexy for recurrent testicular torsion. J Urol 1982; 127: 253-254
  • Klein B, Ochsenschlager DW. Scrotal masses in children and adolescents. A rewiew for the emergency physician. Pediatr Emerg Care 1993; 9:351-361
  • Evans JP, Snyder HM. Idiopathic scrotal edema
  • Urology 1977; 9: 549-551
  • Babinowitz B. The importance of the cremasteric reflex in acute scrotal swelling in children. J Urol 1984; 132: 89-90
  • Melekos MD, Asbach HW, Markou SA. Etiology of acute scrotum in 100 boys with regard to age distribution. J Urol 1988; 139: 1023-1025
  • Levy BJ. The diagnosis of torsion of the testicle using the Doppler ultrasonic stethoscope. J Urol 1975; 113: 63-65
  • Burge DM Neonatal testicular torsion and infarction: Aetiology and management. BJU 1987; 59: 70-73
  • Kadish HA, Bolte RG. A retrospective review of pediatric patients with epididymitis, testicular torsion, and torsion of testicular appendages
  • Pediatrics 1998; 102: 73-76
  • Nöske HD, Kraus SW, Altınkılıç BM, et al
  • Historical milestones regarding torsion of the scrota! organs. J Urol 1998; 159: 13-16
  • Mac Nicol ME Torsion of the testis in childhood
  • Br J Surg 1974; 61: 905-908
  • Jones DJ, Macreadie D, Morgans BT. Testicular torsion in the armed services. Twelve year review of 179 cases. Br J Surg 1986; 73: 624-626
  • Schulsinger D, Glassberg K, Strashun A
  • Intermittent torsion: Association with horizontal lie of the testicle. J Urol 1991; 145: 1053-1055
  • Das S, Singer A. Controversies of prenatal torsion of the spermatic cord: A review, survey and recommendations. J Urol 1990; 143: 231-233
  • Barker K, Raper FP. Torsion of the testis. BJU 1964; 36: 35-38

14 years experience in delayed acute scrotum from a maternal and child hospital

Yıl 2005, Cilt: 36 Sayı: 3, 129 - 132, 01.04.2005

Serdar Sander Mehmet Eliçevik Murat Ünal Ayşenur Cerrah Celayir

Öz

Amaç: Bu çalışmanın amacı 14 yıllık sürede akut skrotumla başvuran çocuklardaki klinik deneyimlerimizi değerlendirmek ve geç başvuran akut skrotumlu olgularda testis sağaltımı üzerine cerrahi tedavinin rolünü araştırmaktır. Gereç ve Yöntem: 1987-2001 yılları arasında akut skrotum nedeniyle başvuran 156 çocuğun üm kayıtları analiz edildi. 98'i akut skrotum nedeniyle opere edildi (%63). Cerrahi endikasyon, ameliyat bulguları ve sonuçlar açısından hastaların tüm klinik kayıtları retrospektif olarak incelendi. Bulgular: Başvuran 156 çocuğun 98'i (%63) opera edildi. 98 çocukta; testis torsiyonu (n=38, %39), appendiks testis veya epididimis torsiyonu (n=21, %22), epididimoorşit (n=20, %20), akut infekte hidrosel (n=7, %7) saptandı. Testis torsiyonlu olgularda ortalama başvuru zamanı 4.5 gün (1-10 gün) bulundu, ortalama yaş değerleri bifazikti (15 gün ve 7 yaş).38 testis torsiyonlu olgudan sadece testis kaybı önlendi. Bu olgular bir ve iki günlük öykü ile başvurmuşlardı. Sonuç: 24 saat boyunca klinikte radyolojik imkanlar mümkün olmasa da akut skrotum olgularında fizik muayene bulguları ameliyat kararı için geçerlidir. Hastalar geç başvursalar dahi cerrahi eksplorasyonu önermekteyiz.

Anahtar Kelimeler

Geriyedönük çalışma Spermatik kord torsiyonu Çocuk

Kaynakça

  • Arda IS, Özyaylalı I. Testicular tissue bleeding as an indicator of gonadal salvage ability in testicular torsion surgery. BJU Int 2001; 87: 89-92
  • Lewis AG, Bukowski TP, Jarvis PD, et al
  • Evaluation of acute scrotum in the emergency department. J Pediatr Surg 1995; 30: 277-281
  • Cass AS Elective orchiopexy for recurrent testicular torsion. J Urol 1982; 127: 253-254
  • Klein B, Ochsenschlager DW. Scrotal masses in children and adolescents. A rewiew for the emergency physician. Pediatr Emerg Care 1993; 9:351-361
  • Evans JP, Snyder HM. Idiopathic scrotal edema
  • Urology 1977; 9: 549-551
  • Babinowitz B. The importance of the cremasteric reflex in acute scrotal swelling in children. J Urol 1984; 132: 89-90
  • Melekos MD, Asbach HW, Markou SA. Etiology of acute scrotum in 100 boys with regard to age distribution. J Urol 1988; 139: 1023-1025
  • Levy BJ. The diagnosis of torsion of the testicle using the Doppler ultrasonic stethoscope. J Urol 1975; 113: 63-65
  • Burge DM Neonatal testicular torsion and infarction: Aetiology and management. BJU 1987; 59: 70-73
  • Kadish HA, Bolte RG. A retrospective review of pediatric patients with epididymitis, testicular torsion, and torsion of testicular appendages
  • Pediatrics 1998; 102: 73-76
  • Nöske HD, Kraus SW, Altınkılıç BM, et al
  • Historical milestones regarding torsion of the scrota! organs. J Urol 1998; 159: 13-16
  • Mac Nicol ME Torsion of the testis in childhood
  • Br J Surg 1974; 61: 905-908
  • Jones DJ, Macreadie D, Morgans BT. Testicular torsion in the armed services. Twelve year review of 179 cases. Br J Surg 1986; 73: 624-626
  • Schulsinger D, Glassberg K, Strashun A
  • Intermittent torsion: Association with horizontal lie of the testicle. J Urol 1991; 145: 1053-1055
  • Das S, Singer A. Controversies of prenatal torsion of the spermatic cord: A review, survey and recommendations. J Urol 1990; 143: 231-233
  • Barker K, Raper FP. Torsion of the testis. BJU 1964; 36: 35-38
Toplam 22 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Bölüm Makaleler
Yazarlar

Serdar Sander Bu kişi benim

Mehmet Eliçevik Bu kişi benim

Murat Ünal Bu kişi benim

Ayşenur Cerrah Celayir Bu kişi benim

Yayımlanma Tarihi 1 Nisan 2005
Yayımlandığı Sayı Yıl 2005 Cilt: 36 Sayı: 3

Kaynak Göster

APA Sander, S., Eliçevik, M., Ünal, M., Celayir, A. C. (2005). 14 years experience in delayed acute scrotum from a maternal and child hospital. Zeynep Kamil Tıp Bülteni, 36(3), 129-132. https://doi.org/10.16948/zktb.01677
AMA Sander S, Eliçevik M, Ünal M, Celayir AC. 14 years experience in delayed acute scrotum from a maternal and child hospital. Zeynep Kamil Tıp Bülteni. Nisan 2005;36(3):129-132. doi:10.16948/zktb.01677
Chicago Sander, Serdar, Mehmet Eliçevik, Murat Ünal, ve Ayşenur Cerrah Celayir. “14 Years Experience in Delayed Acute Scrotum from a Maternal and Child Hospital”. Zeynep Kamil Tıp Bülteni 36, sy. 3 (Nisan 2005): 129-32. https://doi.org/10.16948/zktb.01677.
EndNote Sander S, Eliçevik M, Ünal M, Celayir AC (01 Nisan 2005) 14 years experience in delayed acute scrotum from a maternal and child hospital. Zeynep Kamil Tıp Bülteni 36 3 129–132.
IEEE S. Sander, M. Eliçevik, M. Ünal, ve A. C. Celayir, “14 years experience in delayed acute scrotum from a maternal and child hospital”, Zeynep Kamil Tıp Bülteni, c. 36, sy. 3, ss. 129–132, 2005, doi: 10.16948/zktb.01677.
ISNAD Sander, Serdar vd. “14 Years Experience in Delayed Acute Scrotum from a Maternal and Child Hospital”. Zeynep Kamil Tıp Bülteni 36/3 (Nisan 2005), 129-132. https://doi.org/10.16948/zktb.01677.
JAMA Sander S, Eliçevik M, Ünal M, Celayir AC. 14 years experience in delayed acute scrotum from a maternal and child hospital. Zeynep Kamil Tıp Bülteni. 2005;36:129–132.
MLA Sander, Serdar vd. “14 Years Experience in Delayed Acute Scrotum from a Maternal and Child Hospital”. Zeynep Kamil Tıp Bülteni, c. 36, sy. 3, 2005, ss. 129-32, doi:10.16948/zktb.01677.
Vancouver Sander S, Eliçevik M, Ünal M, Celayir AC. 14 years experience in delayed acute scrotum from a maternal and child hospital. Zeynep Kamil Tıp Bülteni. 2005;36(3):129-32.