睾丸扭转的治疗:土耳其小儿外科医生和小儿泌尿科医生调查。

Furkan Adem Canbaz, Gonca Gerçel, Sefa Sag
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引用次数: 0

摘要

背景:本研究旨在评估土耳其小儿外科医生和小儿泌尿科医生诊断和治疗睾丸扭转(TT)的方法以及他们对欧洲泌尿外科协会(EAU)小儿泌尿科指南的遵守情况:2023年6月和7月,通过电子邮件向小儿外科医生和小儿泌尿科医生发送了一份包含19个问题的调查问卷,并附有说明,介绍了研究的目的:在95名受访者中,62.1%的受访者有10年以上的工作经验,48.4%的受访者每年治疗的TT病例超过5例。87.4%的受访者表示会经常使用阴囊多普勒超声检查(US),12.6%的受访者表示会在诊断有疑问时使用 US。在治疗方面,14.7%的患者表示会进行人工剥离,70.5%的患者从未进行过人工剥离,14.7%的患者表示只有在手术室即将关闭时才会进行人工剥离。共有 92.6% 的参与者选择了急诊手术。在进行人工剥离的参与者中,71.4%的人在人工剥离成功后 24 小时内进行了手术。关于对侧睾丸的固定,14.7%的人从未做过,27.4%的人只有在对扭转的睾丸进行睾丸切除术时才做过:结论:虽然大多数参与者都遵循 EAU 儿童泌尿科指南进行了急诊手术,但手动剥离的比例很低。极少数参与者表示人工剥离后可能不会进行急诊手术。虽然所有参与者都按照指南对扭转的睾丸进行了固定,但在对侧睾丸的固定上却没有遵循同样的指南。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The management of testicular torsion: A survey of Turkish pediatric surgeons and pediatric urologists.

Background: This study aimed to evaluate the approaches of pediatric surgeons and pediatric urologists in Türkiye regarding the diagnosis and treatment of testicular torsion (TT) and their adherence to the European Association of Urology (EAU) pediatric urology guideline.

Methods: A survey consisting of 19 questions, accompanied by an annotation describing the objective of the study, was emailed to pediatric surgeons and pediatric urologists in June and July 2023.

Results: Of the 95 respondents, 62.1% had over 10 years of experience, and 48.4% treated more than five cases of TT annually. Of the participants, 87.4% stated that scrotal Doppler ultrasonography (US) was always used, and 12.6% stated that US was used in cases of doubtful diagnosis. Concerning treatment, 14.7% reported performing manual detorsion, 70.5% never did, and 14.7% did so only if the operating room was unavailable soon. A total of 92.6% of participants opted for emergency surgery. Among participants who perform manual detorsion, 71.4% perform surgery within 24 hours after successful manual detorsion. Regarding fixation of the contralateral testicle, 14.7% never performed it, and 27.4% did so only when they performed an orchiectomy on the torsion testicle.

Conclusion: While most participants follow EAU pediatric urology guidelines by performing emergency surgery, the rate of manual detorsion is low. Few participants stated that emergency surgery may not be performed after manual detorsion. While all of the participants performed fixation of the torsion testicle in accordance with the guidelines, the same adherence was not observed in the contralateral testicle.

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