急性睾丸扭转:健康意识的需要——摩洛哥经验

J. Elanzaoui
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引用次数: 3

摘要

睾丸死亡和睾丸切除术的影响是生理和心理上的。大多数情况下,睾丸扭转发生在青春期。对于个性正在形成的青少年来说,兰花切除术代表着一种极端的心理和身体攻击。除了对生育能力的潜在影响外,如果发生在单个睾丸上,则睾丸扭转的严重程度会上升,需要终生进行雄激素替代,并伴有明确的不孕症。这种对生育能力的影响甚至会发生在抢救出来的睾丸上。但在这种情况下似乎没有那么严重。在心理层面上,睾丸切除术具有触及男性阳刚“中心”的特殊性。事实上,具有功能价值的睾丸在青春期和发育期成为“重要”器官。因此,对青少年性别认同的影响似乎是不可避免的,但其深度仍有待评估。事实上,不幸的是,我们在文献中找不到,正如我们所知,任何关于睾丸切除术对年轻男性性格影响的研究。
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Acute Testicular Torsion: The Need of Health Awareness Moroccan Experience
The impact of testicular death and orchidectomy is physical and psychological. Most often, testicular torsion occurs in adolescence [4]. For adolescents, whose personality is being formed, the orchidectomy represents an extreme psychological and physical aggression. Besides its potential impact on fertility [1], Testicular torsion rises in severity if occurs on a single testis demanding an androgenic substitution per life, with a definit infertility. This impact on fertility can occur even on salvaged testis. But it seems to be less severe in this case [3]. On the psychological level, orchidectomy has the particularity to touch the « center » of virility in men. In fact, the testicles possessing a functional value becomes "vital" organ in the period of adolescence and puberty. Thus, the impact on the sexual identity of adolescents seems inevitable, but its depth remains to be assessed. Indeed, Unfortunately, we do not find in the literature, as we know, any study dealing with the consequences of orchiectomy on the personality of the young men in particular.
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