Successfully preserving testicles for a 20-year-old young man

HƯƠNG SƠN |

Military Hospital 175 HCMC has successfully performed emergency surgery for a case of testicular torsion, preserving the reproductive organs for a 20-year-old patient.

Patient N.T. P (born in 2005) was transferred to Military Hospital 175 in a state of severe pain in the left testicle.

According to medical history, from the night before admission, the patient had a subtle pain sensation in the left testicle area, but thought it was just a normal pain, so she did not go for examination. Near dawn, the pain gradually increased and became severe, making the patient unable to bear it. After being initially examined by the unit's military medical staff, the patient was urgently transferred to Military Hospital 175 for treatment.

Immediately upon admission to the Emergency Department C1-3A, the patient was quickly examined and consulted with the Andrology Department, Military Hospital 175. Through clinical evaluation, doctors determined that this was a case of left testicular torsion at around the 6th - 7th hour, a particularly dangerous surgical emergency condition requiring immediate intervention.

Recognizing this as a case requiring urgent treatment, the hospital activated the emergency surgery procedure, quickly taking the patient to the operating room in a silent race against the "golden hour".

During the surgery, the surgical team recorded that the left testicle was twisted twice, turning blackish-purple due to lack of blood supply. Doctors immediately proceeded to remove the testicle torsion, then applied warm salt water compresses and monitored the recovery ability of testicular tissue.

After about 30 minutes of monitoring, the color of the testicles gradually turned pink again, showing that the blood supply has been restored. On that basis, the surgical team decided to preserve the testicles and at the same time fix the testicles on both sides into the scrotum to prevent the risk of recurrent torsion.

After surgery, the patient was treated with antibiotics, pain relief and post-operative monitoring. The recovery condition is good.

According to doctors of the Andrology Department - Military Hospital 175, testicular torsion is a dangerous andrology emergency, common in adolescents and young men. The disease usually starts suddenly with severe pain in the scrotum area, which may be accompanied by swelling, nausea or pain spreading to the lower abdomen.

Doctors said that in cases of testicular torsion, time is the decisive factor. If the torsion is not removed in the first 6 hours, the testicle is at high risk of prolonged anemia leading to necrosis and forced removal.

From this case, doctors recommend that people should not be subjective when sudden pain appears in the testicles. Going to a medical facility early is especially important, because every hour that passes directly affects the ability to preserve the testicles and the reproductive function of the patient.

HƯƠNG SƠN
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