Testicular injuries

We reviewed 91 testicular injuries in 86 patients (5 bilateral) as a result of blunttrauma in 72 patients and gunshot wounds in 14 patients. In 90 percent of the patients the injury was solitary. With blunt trauma initially conservative management led to the loss of the entire testis in 21 percent i...

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Veröffentlicht in:	Urology (Ridgewood, N.J.) N.J.), 1991-06, Vol.37 (6), p.528-530
Hauptverfasser:	Cass, Alexander S., Luxenberg, Michael
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Biological and medical sciences Follow-Up Studies Gynecology. Andrology. Obstetrics Hematoma - etiology Humans Infertility, Male - etiology Male Male genital diseases Medical sciences Non tumoral diseases Orchiectomy Rupture Testicular Diseases - etiology Testis - injuries Ultrasonography Wounds, Nonpenetrating - diagnostic imaging Wounds, Nonpenetrating - therapy Wounds, Penetrating - diagnostic imaging Wounds, Penetrating - therapy
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Beschreibung
Zusammenfassung:	We reviewed 91 testicular injuries in 86 patients (5 bilateral) as a result of blunttrauma in 72 patients and gunshot wounds in 14 patients. In 90 percent of the patients the injury was solitary. With blunt trauma initially conservative management led to the loss of the entire testis in 21 percent in comparison with only 6 percent of those explored promptly. The recent use of testicular ultrasonography has not differentiated intratesticular hematoma from rupture in the majority of cases of blunt trauma. Bilateral testicular injury occurred in 1 of 72 patients (1.4%) with blunt trauma versus 4 of 14 (29%) with penetrating trauma and affected the fertility in 3 of 4 patients on follow-up.
ISSN:	0090-4295 1527-9995
DOI:	10.1016/0090-4295(91)80317-Z