Section 7
Chapter 6,462

Spermatic cord block and manual reduction: primary treatment for spermatic cord torsion

Kiesling, V.J.; Schroeder, D.E.; Pauljev, P.; Hull, J.

Journal of Urology 132(5): 921-923


ISSN/ISBN: 0022-5347
PMID: 6492282
DOI: 10.1016/s0022-5347(17)49947-2
Accession: 006461946

A total of 16 consecutive cases of acute torsion of the spermatic cord less than 24 hours in duration are presented. All patients were diagnosed and treated initially by spermatic cord blockade and attempted manual detorsion. Of the 16 patients 15 underwent successful detorsion under local anesthesia. All patients underwent subsequent bilateral orchiopexy. Testicular salvage was 93 per cent in those patients who underwent successful detorsion by manipulation.

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