Abstract：Abstract Objective: To summarize the experience of testicular torsion, which may help achieve early diagnosis and improve therapeutic effects. Methods: A retrospective analysis was performed on 69 patients with testicular torsion who had undergone emergency testicular exploration from May, 2011 to March, 2017. The age of the patients ranged from 1 to 49 years old. All the patients had unilateral torsion with 49 cases on the left side and 20 cases on the right side. The course of disease varied between 4 h to 21 d. All cases were followed up until August, 2017. Observation items included signs and symptoms of initial clinical visiting, ultrasound findings, treatment in emergency surgery, and post-operative follow-up. Results: Sixty-nine patients with testicular torsion were suspected testicular torsion by color Doppler ultrasound (CDUS). According to Arda scoring system, 55 patients received orchiectomy (orchiectomy performed on 9 cases under local anesthesia), and 12 patients received testicular fixation after testicular exploration. Two patients had no treatment due to refusing exploration. The rate of testicular retention was 17.9%. Follow-up results showed that no recurrence was found in uninjured testicles of patients receiving orchiectomy. In 12 patients receiving testicular fixation, the testicles of 5 patients (duration time more than 6 h) got atrophy during the follow-up period. Conclusions: Early diagnosis and treatment is important for improving the survival rate of testicular torsion. Therefore, improving the knowledgment and awareness of the first attending clinician in testicluar torsion diagnosis and treatment is critical and urgent.
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