Articles Vol. 63 No. chuyên đề 2-HN Y học Giới tính (2022) 18/11/2022

RESULT OF THE SURGICAL TREATMENT FOR TESTICULAR INJURY IN VIET DUC HOSPITAL

Nguyen Duy Khanh1,2, Cao Dac Tuan1,2, Nguyen Quang1,2, Trinh Hoang Giang1,2, Nguyen Huu Thao1,2, Bui Van Quang1,2
1 Viet Duc University Hospital
2 Bệnh viện Hữu nghị Việt Đức
Corresponding author: drkhanh6888@gmail.com
DOI: 10.52163/yhc.v63i7.482
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Keywords
Testicular injury, scrotal ultrasonography, surgery, orchiectomy.
Abstract

Objective: To evaluate the surgical outcome of testicular injury in Viet Duc Hospital from
January 2017 to June 2022.
Subjects and methods: The study was conducted as a retrospective cohort, by convenient
sampling of 38 patients who were treated for testicular injury at the Center for Andrology
and Sexual Medicine, Viet Duc Hospital from January 2017 to June 2022.
Results: The mean age was 27,84 ± 10,71 years (10-53 years) and 63,2% patients got married.
The most common cause was traffic accident (52,6%). The mean day of hospitalization
was 15,26 ± 17,14 days (6-32 days). There are 22 patients (57,8%) had right testicle injury
and one patient had both testicle injury. The time of surgery was 65,44 ±25,15 minutes
(45-100 minutes). 34 patients were treated with conservative surgery and 4 patients were
orchiectomy. No patient had bleeding or necrotic testicular and 2 patients had infection
wound in postoperative. The median follow-up was 30 months (2–57 months). 19/38 patients
had reduced the volume of testicle, 7/25 patients reduced the testosterone level, 9/16 patients
had the abnormal semen analysis. None had chronic testicular pain.
Conclusion: Testicular injury is a urological emergency mainly happened in young people,
early diagnosis and proper medical interventions would increase the possibility of testis
salvage and protecting testicular functions.

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