双侧结节性睾丸的治疗,过去和现在的争议:一例报告

IF 0.9 Q3 MEDICINE, GENERAL & INTERNAL Bali Medical Journal Pub Date : 2022-12-14 DOI:10.15562/bmj.v12i1.3935
D. Syahputra, V. Indriasari, F. Kusumowidagdo
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引用次数: 0

摘要

引言:睾丸结节是儿科泌尿科医生发现的最常见的睾丸摸不着的病例。诊断和手术治疗,包括长期随访,仍然是一个争论,尤其是在双侧睾丸结节的情况下。病例介绍:一名患有双侧睾丸无法触及的5岁男孩被送往医院。进行诊断性腹腔镜检查,用睾丸血管闭合两个腹股沟内环,输精管进入腹股沟管。我们在腹股沟探查时发现双侧睾丸结节,随后只进行了右侧睾丸固定术,因为它比左侧睾丸大。结论:睾丸结节的双侧治疗需要循证医学、综合管理和医患协商,以获得良好的治疗效果。
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Management of bilateral nubbin testis, past and present controversies: a case report
Introduction: Testicular nubbin is the most common case of impalpable testis found by pediatric urologists. Diagnostic and surgical management, including long-term follow-up, is still a debate, especially in cases of bilateral testicular nubbin. Case presentation: A 5-year-old boy with bilateral impalpable testis was brought to a hospital. A diagnostic laparoscopy was performed, and both internal inguinal rings were closed with testicular blood vessels, and the vas deferens had entered the inguinal canal. We found bilateral testicular nubbin on inguinal exploration and subsequently performed only right orchidopexy because it was larger than the left testis. Conclusion: Evidence-based medicine, comprehensive management, and consultation between doctor and patient are needed in bilateral management of testicular nubbin for a good patient outcome.
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来源期刊
Bali Medical Journal
Bali Medical Journal MEDICINE, GENERAL & INTERNAL-
自引率
50.00%
发文量
8
审稿时长
3 weeks
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