Daniel Marchalik1, Jeffrey A Triest2, Henry C Wright2, Gaurav Bandi2. 1. Department of Urology, MedStar Georgetown University Hospital, Washington, DC. Electronic address: dan.marchalik@gmail.com. 2. Department of Urology, MedStar Georgetown University Hospital, Washington, DC.
Abstract
OBJECTIVE: To describe a new technique for repairing traumatic testicular ruptures using readily available graft material. MATERIALS AND 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. CONCLUSION: 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.
OBJECTIVE: To describe a new technique for repairing traumatic testicular ruptures using readily available graft material. MATERIALS AND 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. CONCLUSION: 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: Paul Nhu Doan; Jim Yip; Henry Wang; Daniel Chia; Lawrence H C Kim; Audrey Wang Journal: Can Urol Assoc J Date: 2019-06-17 Impact factor: 1.862