INTRODUCTION: Testicular injury with a tunica albuginea tear is typically reconstructed by primary closure. We herein describe the successful use of a tunica vaginalis flap for reconstruction of a ruptured testis for which primary closure was not possible. CASE PRESENTATION: A 21-year-old man visited our hospital with scrotal swelling after a baseball struck his left testis. Magnetic resonance imaging and ultrasonography indicated a left tunica albuginea tear, and emergency surgery was performed. Primary closure of the tunica albuginea was impossible since a tight closure could cause secondary damage. A vascular pedicle flap was prepared by shaping the tunica vaginalis to replace the tunica albuginea. He was discharged 2 days postoperatively. Ultrasonography showed normal size and blood flow in the ruptured testis at the 2-week and 3-month follow-up. CONCLUSION: A testicular vaginalis flap should be considered when primary closure is difficult in cases of testicular rupture with tunica albuginea damage.
INTRODUCTION: Testicular injury with a tunica albuginea tear is typically reconstructed by primary closure. We herein describe the successful use of a tunica vaginalis flap for reconstruction of a ruptured testis for which primary closure was not possible. CASE PRESENTATION: A 21-year-old man visited our hospital with scrotal swelling after a baseball struck his left testis. Magnetic resonance imaging and ultrasonography indicated a left tunica albuginea tear, and emergency surgery was performed. Primary closure of the tunica albuginea was impossible since a tight closure could cause secondary damage. A vascular pedicle flap was prepared by shaping the tunica vaginalis to replace the tunica albuginea. He was discharged 2 days postoperatively. Ultrasonography showed normal size and blood flow in the ruptured testis at the 2-week and 3-month follow-up. CONCLUSION: A testicular vaginalis flap should be considered when primary closure is difficult in cases of testicular rupture with tunica albuginea damage.
Authors: Thomas H Lynch; Luis Martínez-Piñeiro; Eugen Plas; Efraim Serafetinides; Levent Türkeri; Richard A Santucci; Markus Hohenfellner Journal: Eur Urol Date: 2005-01 Impact factor: 20.096
Authors: Guillaume Guichard; Jamal El Ammari; Carlos Del Coro; Damien Cellarier; Pierre Yves Loock; Eric Chabannes; Stéphane Bernardini; Hugues Bittard; François Kleinclauss Journal: Urology Date: 2008-01 Impact factor: 2.649