urovestВестник урологииUrology Herald2308-6424Rostov State Medical University10.21886/2308-6424-2026-14-1-112-117urovest-1193Research ArticleОБМЕН ПРАКТИЧЕСКИМ ОПЫТОМEXCHANGE OF PRACTICAL EXPERIENCEКлиника и лечение перекрута яичка у детей с крипторхизмомClinical features and management of testicular torsion in children with cryptorchidismhttps://orcid.org/0000-0003-2942-1450ЗолотухинД. С.ZolotukhinD. S.

Дмитрий Сергеевич Золотухин

Челябинск

Dmitry S. Zolotukhin

Chelyabinsk

as12er@mail.ruhttps://orcid.org/0009-0009-5481-824XПавловаО. С.PavlovaO. S.

Ольга Сергеевна Павлова

Челябинск

Dmitriy S. Zolotukhin

Chelyabinsk

olgapavlova666@mail.ruhttps://orcid.org/0009-0005-1535-3751ЗайцеваЕ. Н.ZaitsevaE. N.

Ева Николаевна Зайцева

Челябинск

Eva N. Zaitseva

Chelyabinsk

zaytsevaeva11@yandex.ruhttps://orcid.org/0009-0007-9327-7779ГрунинА. В.GruninA. V.

Александр Васильевич Грунин

Челябинск

Alexander V.Grunin

Chelyabinsk

sasha_grunin@mail.ruhttps://orcid.org/0009-0003-4805-0074ФилатовИ. А.FilatovI. A.

Иван Андреевич Филатов 

Челябинск

Ivan A. Filatov

Chelyabinsk

andifil@mail.ruЮжноуральский государственный медицинский университет; Челябинская областная детская клиническая больницаРоссияSouth Ural State Medical University; Chelyabinsk Regional Children's Clinical HospitalRussian FederationЧелябинская областная детская клиническая больницаРоссияChelyabinsk Regional Children's Clinical HospitalRussian FederationЮжноуральский государственный медицинский университет; Челябинская областная детская клиническая больницаРоссияSouth Ural State Medical University; Chelyabinsk Regional Children's Clinical HospitalRussian Federation202605042026141112117Copyright © Золотухин Д.С., Павлова О.С., Зайцева Е.Н., Грунин А.В., Филатов И.А., 20262026Золотухин Д.С., Павлова О.С., Зайцева Е.Н., Грунин А.В., Филатов И.А.Zolotukhin D.S., Pavlova O.S., Zaitseva E.N., Grunin A.V., Filatov I.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.urovest.ru/jour/article/view/1193Введение

Введение. Крипторхизм относится к распространённой врождённой аномалии, при которой яички не опускаются нормально в мошонку. Тем не менее, несмотря на то, что большинство случаев крипторхизма поддаются коррекции, некоторые пациенты упускают оптимальный период лечения. По мере роста эти пациенты могут столкнуться с такими острыми осложнениями, как перекрут яичка.

Цель исследования

Цель исследования. Анализ опыта диагностики и результатов лечения перекрута яичка у детей с крипторхизмом.

Материалы и методы

Материалы и методы. Был проведён ретроспективный анализ клинических данных 7 детей с крипторхизмом, у которых наблюдали перекрут яичка. Пациенты проходили хирургическое лечение в Челябинской областной детской больнице с 2018 по 2024 год. Перед лечением выполняли УЗИ мошонки. Послеоперационное наблюдение составило 12 месяцев.

Результаты

Результаты. Средний возраст пациентов составил 48 месяцев. В 5 случаях перекрут яичка отмечался с левой стороны, в двух — с правой стороны. Заворот яичка наблюдали от 360° до 720°. Медианное время между появлением симптомов и хирургическим вмешательством составило 24 часа, среднее время операции — 25 минут. У 5 пациентов был обнаружен необратимый некроз яичек, и они были удалены, в то время как у 2 пациентов яички были успешно раскручены и сохранены с хорошим кровоснабжением. Послеоперационное наблюдение показало атрофию яичка в 1 случае. У пациентов с удалёнными гонадами контралатеральные фиксированные яички хорошо развивались.

Заключение

Заключение. Перекрут яичка у детей с крипторхизмом встречается редко и часто сопровождается едва заметными симптомами. Ранняя диагностика и лечение имеют решающее значение. Ультразвук играет важную роль в диагностике перекрута яичка при крипторхизме.

Introduction

Introduction. Cryptorchidism is a common congenital anomaly in which the testes fail to descend normally into the scrotum. Although most cases can be corrected surgically, some patients miss the optimal window for treatment and, as they grow, may present with acute complications such as testicular torsion.

Objective

Objective. To analyse our experience with the diagnosis and treatment outcomes of testicular torsion in children with cryptorchidism.

Materials & methods

Materials & methods. We retrospectively reviewed clinical data from 7 boys with cryptorchidism who developed testicular torsion and underwent surgical treatment at the Chelyabinsk Regional Children’s Hospital between 2018 and 2024. Preoperative scrotal ultrasonography was performed in all cases. Postoperative follow‑up was 12 months.

Results

Results. The mean age at presentation was 48 months. Testicular torsion involved the left side in 5 cases and the right side in 2 cases, with the degree of twisting ranging from 360° to 720°. The median interval between symptom onset and surgery was 24 hours, and the mean operative time was 25 minutes. Irreversible testicular necrosis was found in 5 patients, who underwent orchiectomy, whereas in 2 patients the testes were successfully detorsed and preserved with good intraoperative perfusion. During follow‑up, testicular atrophy developed in 1 preserved testis. In children who underwent orchiectomy, the contralateral fixed testes showed normal development.

Conclusion

Conclusion. Testicular torsion in children with cryptorchidism is rare and often presents with subtle symptoms, making early recognition challenging. Prompt diagnosis and treatment are crucial for testicular salvage. Ultrasonography plays an important role in the diagnosis of testicular torsion in the setting of cryptorchidism.

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The authors declare that there are no conflicts of interest present.