A case of testicle replantation.
A case is reported of amputation of the testis, which was reattached to the stump of the severed spermatic cord using a microsurgical technique and local hypothermia. Total ischemia time was 4 hours and 20 minutes, including 3 hours for warm ischemia. Ultrasonography of the replanted testis 6 months postoperatively showed a homogeneous parenchymal echo pattern and color-coded duplex sonography confirmed normal blood flow. Semen analysis and serum testosterone level were normal. A biopsy of the replanted testicle revealed active spermatogenesis and a normal number of Leydig cells.
Altarac
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Department of Urology, University Hospital Rebro, Zagreb, Croatia.
D000328:Adult; D000673:Amputation, Traumatic / Q000601:surgery*; D006801:Humans; D008297:Male; D012092:Replantation; D013737:Testis / Q000166:cytology / Q000293:injuries* / Q000601:surgery*