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Collagen fleece(tachosil®)for treating testis torsion:A case report

World Journal of Clinical Cases 2023年第18期11卷 4306-4312页

作者： Ki Min Kim Jae Heon Kim Department of Urology Soonchunhayng University Seoul HospitalSeoul 04410South Korea

BACKGROUND Testicular torsion is an emergent disease in urology,and there has been discussion of the treatment of testicular *** decompression has been established as a critical treatment for testicular compartment syndrome(TCS),which occurs after detorsion in a patient who is diagnosed with testis *** now,testicular fasciotomy and incision of tunica albuginea with tunica vaginalis flap(TVF)graft have been suggested for decompression,and some studies about the efficacy of TVF were ***,this method is time consuming and needs meticulous technique,so other methods such as orchio-septopexy are *** objective of this clinical case report was to propose new surgical method using collagen fleece(tachosil®)instead of tunica vagina *** SUMMARY A 5-year-old boy with scrotal pain visited our hospital 24 h after symptom *** history taking,physical examination,and scrotum ultrasonography,he was diagnosed with testis *** surgery was performed after *** the incision of scrotum and fasciotomy,we covered his tunica albuginea with collagen fleece called tachosil®instead of covering with *** Short-term follow-up showed normal blood flow in testis without a *** is the first case report of using tachosil®in testicular torsion surgery,and its advantages were already reported in other surgeries like Peyronie’s *** case suggests this new technique is an appropriate method because of its advantages including its cost-effective and time-saving *** main limitation is the short follow-up,so more studies are needed to provide a high level of evidence about its efficacy and safety.

关键词： Testicular torsion Testicular compartment syndrome Collagen fleece tachosil® Case report

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