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- Title
Male genital injury: diagnostics and treatment.
- Authors
Van Der Horst, C.; Portillo, F. J. Martinez; Seif, C.; Groth, W.; Jünemann, K. P.
- Abstract
This article reviews the current status of information on external male genital injuries, focusing on cause, diagnostic and therapeutic management of this uncommon entity. Because of the high risk of infection and the major importance of preserving fertility, male genital injuries represent a serious urological disorder that demands immediate urological treatment. The diagnostic procedure classically consists of taking a history and inspecting the wound; this provides enough diagnostic information for the correct choice of conservative or surgical treatment. In most cases open injuries of the genitalia require surgical exploration to determine the extent of possible scrotal, testicular, epididymal, cavernosal or urethral damage, to debride nonviable superficial or deep tissue, to drain existing haematomas or to control active bleeding. Furthermore, the correct therapeutic approach is crucial for preserving fertility and penile erection. In cases where bilateral ablation is necessary, measures to preserve sperm, e.g. testicular or microsurgical sperm extraction, or squeezing the ductus during orchidectomy, must be considered.
- Subjects
GENITOURINARY organ injuries; MALE reproductive organs; WOUND care; SERVICES for patients; MEDICAL care; THERAPEUTICS
- Publication
BJU International, 2004, Vol 93, Issue 7, p927
- ISSN
1464-4096
- Publication type
Article
- DOI
10.1111/j.1464-410X.2003.04757.x