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男性性生理问题
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睾丸扭转
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睾丸扭转是指睾丸在精索(长轴)上的扭转。正常时，睾丸附着在阴囊的底部，如果它被撕脱而处于游离状态，则会发生扭转。结果是，睾丸可能旋转，而精索就可能扭转。继而，这会阻断睾丸的血液供给。结果会导致阴囊肿大和剧烈的急性疼痛，疼痛常常会扩散至腹部并可能伴有恶心和呕吐。除了这些症状以外，睾丸扭转也可能导致睾丸鞘膜积液(hydrocele)。睾丸扭转的病因多种多样，从遗传畸形到外伤，从剧烈运动到寒冷天气，不一而足。儿童和青少年发病率最高，但也可能发生在任何年龄的男子。通常，左侧睾丸容易发病。
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治
疗
睾丸扭转是一种需要专家紧急处理的临床急症。如果未在6小时内得到治疗，睾丸极可能受到损伤而难以复原。(在这种病例，睾丸被摘除并种植某种睾丸义体以保持阴囊的正常外貌特征。)至于睾丸扭转本身的治疗：首先，医生可能设法用手消除扭转。但是，如果这样的处理无效的话，外科手术则不可避免。
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Physical Problems in Males
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Testicular Torsion
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Testicular torsion is the twisting of a testicle on its spermatic cord. This happens if the testicle, which is normally attached to the bottom of the scrotum, is torn loose to float freely. As a result, the testicle can rotate and the spermatic cord can get twisted. This, in turn, cuts off their blood supply. The result is a scrotal swelling and sudden, severe pain, often extending into the abdomen and perhaps accompanied by nausea and vomiting. In addition to these problems, the condition may also produce a
hydrocele (see
there). Testicular torsion can have a variety of causes, from some congenital malformation to injury and strenuous excercise to cold weather. It is found most often in children and teenagers, but it can occur at any age. As a rule, the left testicle is the one affected. |
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Treatment
Testicular torsion is a medical emergeny requiring a specialist. If it is not treated within the first 6 hours, the testicle is likely to be damaged beyond repair. (In this case, it is removed and replaced with some cosmetic implant which preserves a normal outward appearance of the scrotum.) As for the treatment itself: The doctor may first attempt to untwist the torsion by hand. However, if this proves unsuccessful, surgery is unavoidable.
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