Testicular Trauma In A Tertiary Hospital In The Metropolitan Re-gion Of Paraíba Valley, Brazil
Article Sidebar
Main Article Content
Abstract
Testicular trauma is a cause of morbidity in patients of all age groups, especially among young people. The Paraíba Valley Regional Hospital (PVRH) is a reference in the care of polytraumatized patients and because it is located in a strategic region being cut by major highways. A retrospective analysis of the medical records of patients submitted to unilateral orchiectomy, bilateral orchiectomy and scrotum exploration was performed at the PVRH in a period of 4 years. Within this database, 11 patients submitted to these procedures due to traumatic etiology were found. Orchiectomy was the predominant treatment in the case series reported here (72.7%). The therapeutic approach adopted in this study differs from that reported in the literature, due to the time taken from the trauma until the therapeutic conduct was long, only 36.4% with treatment within 24 hours, thus making more conservative or even more reparative conducts unfeasible, as well as the severity of the injuries involved with the trauma with motorcycles Thus, studies that lead to the detailing of patients victims of testicular trauma in other institutions may contribute to a positive evolution in the quality of pre- and in-hospital care.
Downloads
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
Munter DW, Faleski EJ. Blunt scrotal trauma: emergency department evaluation and management. Am J Emerg Med. 1989;7:227-34.
Papoutsoglou N, Thiruchelvam N. Diagnosis and Management of Testicular Injuries. Med Surg Urol. 2013;2:108
Jeffrey RB, Laing FC, Hricak H, McAninch JW. Sonography of testicular trauma. AJR Am J Roentgenol 1983; 141:993-5
Nicola R, Carson N, Dogra VS. Imaging of traumatic injuries to the scrotum and penis. AJR Am J Roentgenol 2014; 202:W512-20.
Santucci, R. A., & Bartley, J. M. (2010). Urologic trauma guidelines: a 21st century update. Nature Reviews Urology, 7(9), 510–519. doi:10.1038/nrurol.2010.119
Starmer, B. Z., Baird, A., & Lucky, M. A. (2017). Considerations in fertility preservation in cases of testicular trauma. BJU International, 121(3), 466–471.
Ragheb D, Higgins JL Jr. Ultrasonography of the scrotum: technique, anatomy, and pathologic entities. J Ultrasound Med. 2002;21:171-85.
Sallami S, Khouni H, Ichaoui H, Ben Atta M, Abou El Makarim S, Ben Rhouma S. Blunt scrotal trauma in adults: A mul-ti-institution study evaluating the American Association for the Surgery of Trauma organ injury grading scale About 107 cases. Tunis Med. 2017 May;95(5):331-335.
Grigorian A, Livingston JK, Schubl SD, Hasjim BJ, Mayers D, Kuncir E, Barrios C, Joe V, Nahmias J. National analysis of testicular and scrotal trauma in the USA. Res Rep Urol. 2018 Aug 10;10:51-56.
Lee, S. H., Lee, D.-G., Choi, S.-K., Choi, T., & Yoo, K. H. (2017). Trends in Testicular Injury in Korea, 1986–2015. Journal of Korean Medical Science, 32(10), 1669.
Wang, Z., Yang, J., Huang, Y., Wang, L., Liu, L., Wei, Y., … Tang, Z. (2016). Diagnosis and management of testicular rupture after blunt scrotal trauma: a literature review. International Urology and Nephrology, 48(12), 1967–1976.
Lee SH, Bak CW, Choi MH, Lee HS, Lee MS, Yoon SJ. Trauma to male genital organs: a 10-year review of 156 patients, including 118 treated by surgery. BJU Int. 2008 Jan;101(2):211-5.
Buckley JC, McAninch JW. Use of ultrasonography for the diagnosis of testicular injuries in blunt scrotal trauma. J Urol 2006; 175:175-8.
Redmond, E.J., Mac Namara, F.T., Giri, S.K. et al. Blunt testicular trauma – is surgical exploration necessary?. Ir J Med Sci 187, 1109–1113 (2018).
Lucky, M., Brown, G., Dorkin, T., Pearcy, R., Shabbir, M., … Shukla, C. J. (2018). British Association of Urological Surgeons (BAUS) consensus document for the management of male genital emergencies - testicular trauma. BJU International, 121(6), 840–844.
Stillwell T, Reading C, Leary F. Untreated rupture of the tunica albuginea. Mayo Clin Proc 1986; 61: 975
Gross M. Rupture of the testicle, the importance of early surgical treatment. J Urol 1969; 101: 196–7
Cass, A. S. & Luxenberg, M. Testicular injuries. Urology 37, 528–530 (1991).
Trinci M, Cirimele V, Ferrari R, Ianniello S, Galluzzo M, Miele V. Diagnostic value of contrast-enhanced ultrasound (CEUS) and comparison with color Doppler ultrasound and magnetic resonance in a case of scrotal trauma. J Ultrasound. 2020 Jun;23(2):189-194.
Misgav Rottenstreich, MC IDF, Ofer N. Gofrit, MC IDF (Ret.), Blunt Scrotal Trauma in Soldiers—Epidemiology and Out-come, Military Medicine, Volume 182, Issue 9-10, September 2017, Pages e1929–e1931,
Powers, R., Hurley, S., Park, E., McArdle, B., Vidal, P., Psutka, S. P., & Hollowell, C. M. P. (2018). Usefulness of Preoperative Ul-trasound for the Evaluation of Testicular Rupture in the Setting of Scrotal Gunshot Wounds. The Journal of Urology, 199(6), 1546–1551.
Pogorelić Z, Jurić I, Biočić M, Furlan D, Budimir D, Todorić J, Milunović KP. Management of testicular rupture after blunt trauma in children. Pediatr Surg Int. 2011 Aug;27(8):885-9.
Altarac S. Management of 53 cases of testicular trauma. Eur Urol. 1994;25(2):119-23.
Santucci RA, Bartley JM. Urologic trauma guidelines: a 21st century update. Nat Rev Urol. 2010 Sep;7(9):510-9.