engleski

Scrotal cooling as a protective method in tissue preservation after testicular torsion

In our environment, we continue to witness that surgeons, after emergency scrotal exploration and detorsion, heat the testicles. Most surgeons are still guided by the view that heating the testicles dilates peripheral blood vessels, thereby promoting reperfusion and recovery of testicular tissue. Most often, after detorsion, before fixation, surgeons wrap the testicles with warm gauze, waiting for the testicles to ‘recover’. They find the fact of recovery in a visual change in the colour of the testicles, from darker to lighter. We also witness that in clinical practice, from the moment of suspicion of testicular torsion to the operation itself, many surgeons do nothing to preserve testicular tissue, although we are aware that every minute of ischemia is harmful to testicular tissue.

scrotal cooling ; testis ; torsion

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