title: Novel technique for testicular salvage after combat-related genitourinary injury.
abstract: We report a case of traumatic testicular injury resulting in significant loss of both tunica albuginea and seminiferous tubules. Secondary to the substantial tissue loss, our approach to surgical reconstruction required a certain degree of creativity. The injury was managed by creating a single midline testis with two distinct blood supplies. The use of this novel technique was necessary to achieve closure of the tunica albuginea. This case demonstrates the importance of the use of nontraditional reconstructive maneuvers to avoid orchiectomy, given the potential long-term health issues regarding infertility and androgen production.
authors.affiliation: Department of Urology, University of California, Davis, School of Medicine, Sacramento, California 95817, USA.
authors.forename: Stanley A
authors.initials: SA
authors.lastname: Yap
authors.forename: Sean M
authors.initials: SM
authors.lastname: DeLair
authors.forename: Lars M
authors.initials: LM
authors.lastname: Ellison
mesh_terms: D000328:Adult; D000673:Amputation, Traumatic; D001672:Biocompatible Materials / Q000009:adverse effects; D001753:Blast Injuries; D006801:Humans; D007493:Iraq; D008297:Male; D009104:Multiple Trauma; D011098:Polyglactin 910 / Q000009:adverse effects; D012086:Reoperation; D016879:Salvage Therapy; D012611:Scrotum / Q000293:injuries; D013526:Surgical Mesh / Q000009:adverse effects; D013737:Testis / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D014463:Ultrasonography; D013521:Urologic Surgical Procedures, Male / Q000379:methods*; D014857:Warfare
chemical_list: D001672:Biocompatible Materials; D011098:Polyglactin 910