title: Use of "off the shelf" extracellular matrix graft materials for repair of testicular rupture: a novel technique.
abstract: OBJECTIVE
  To describe a new technique for repairing traumatic testicular ruptures using readily available graft material.
  
  
  METHODS
  Surgical management of testicular rupture is often associated with loss of testicular parenchyma because of tissue debridement and concerns of pressure-related ischemia. We present our experience with 3 cases using a novel technique using extracellular matrix graft materials for the reconstruction of tunica albuginea in patients with testicular rupture. We describe a case using bovine pericardium (Neovasc Inc, Richmond, British Columbia) and 2 cases using cadaveric dermis (Coloplast Inc, Minneapolis, MN) to repair complex testicular defects without debridement of extruded testicular parenchyma.
  
  
  RESULTS
  No postoperative complications occurred in any of the patients. Long-term follow-up at 18 months for one patient revealed good cosmetic results, with radiographic findings confirming testicular integrity and flow.
  
  
  CONCLUSIONS
  The use of graft material in the repair of testicular rupture helps prevent the loss of testicular parenchyma through a tension-free closure leading to excellent cosmetic and radiographic outcomes.
authors.affiliation: Department of Urology, MedStar Georgetown University Hospital, Washington, DC. Electronic address: dan.marchalik@gmail.com.
authors.forename: Daniel
authors.initials: D
authors.lastname: Marchalik
authors.affiliation: Department of Urology, MedStar Georgetown University Hospital, Washington, DC.
authors.forename: Jeffrey A
authors.initials: JA
authors.lastname: Triest
authors.affiliation: Department of Urology, MedStar Georgetown University Hospital, Washington, DC.
authors.forename: Henry C
authors.initials: HC
authors.lastname: Wright
authors.affiliation: Department of Urology, MedStar Georgetown University Hospital, Washington, DC.
authors.forename: Gaurav
authors.initials: G
authors.lastname: Bandi
mesh_terms: D000818:Animals; D002102:Cadaver; D002417:Cattle; D020405:Dermis / Q000637:transplantation*; D005109:Extracellular Matrix / Q000637:transplantation*; D006801:Humans; D007511:Ischemia; D008297:Male; D010496:Pericardium / Q000637:transplantation*; D019651:Plastic Surgery Procedures; D012421:Rupture / Q000601:surgery; D013524:Surgical Flaps; D013737:Testis / Q000293:injuries / Q000601:surgery*; D013519:Urogenital Surgical Procedures; D014949:Wounds, Nonpenetrating / Q000601:surgery; D055815:Young Adult