Abstract
Between 1976 and 1981, 11 patients' spermatic cord torsion were treated in our hospital. These 11 cases are reported. The incidence was 0.14% of outpatients, and increasing gradually. Spermatic cord torsion occured in 4 patients on the right, and in 6 patients on the left, bilateral was in 1. External torsion was in 6, and internal torsion was in 4. The most oldest patient was 38, and teenage patients were 7. The onset of symptom was testicular pain in 8 patients, and inguinal or lower adbominal pain in 6 patients. The sudden onset was in 5 patients. Three patients had nausea and vomiting. Low grade fever was seen in 5 patients, and leucocytosis (over 8000/nm^3) was in 7 patients in which 3 patients required orchiectomy were all included. Miction pain was seen in only one patient who was performed orchiectomy. The time of the onset of symptom was all in from 2 Am to 11 AM. The onset of symptom came on during sleep in 8 patients, morning erection in 1, going to school in 1. Orchiectomy was carried out in 3 patients, and orchiopexy in 8. All patients performed orchiopexy were treated within the first 9 hours after the onset of symptoms. Three patients required orchiectomy were all missdiagnosed them initially as acute epididymitis. First diagnosis suspected from the histry, the age and the local findings is the most important.
