scholarly journals Reconstrucción testicular con toma y aplicación de injerto autólogo de túnica albugínea contralateral por trauma penetrante de testículo por proyectil de arma de fuego. Reporte de caso y revisión de la literatura

2021 ◽  
Vol 81 (2) ◽  
pp. 1-9
Author(s):  
Julio César Ávalos-Jiménez
Keyword(s):  
Tunica Albuginea ◽  
Tunica Vaginalis

Antecedentes: El trauma testicular y escrotal ocurre principalmente en jóvenes entre 15 y 40 años. El 50% de las heridas testiculares por arma de fuego terminan en orquiectomía. La presentación clínica es con dolor, edema, equimosis y hematoma; laceración de piel o exposición de tejido. El diagnóstico es clínico. La evidencia o sospecha de una ruptura testicular es una urgencia y requiere exploración quirúrgica inmediata. El manejo quirúrgico recomendado es con cierre primario de la túnica albugínea cuando es posible y orquiectomía cuando no es posible. Caso clínico: Presentamos el caso de un masculino de 20 años con trauma testicular por arma de fuego; condicionándole trauma izquierdo grado V y derecho grado IV. Se realizó orquiectomía simple izquierda y orquiectomía parcial derecha con reconstrucción testicular por medio de injerto de túnica albugínea contralateral. El paciente cursó con una evolución satisfactoria; al estudio ultrasonográfico Doppler de control se observó vascularidad conservada y hormonalmente niveles de testosterona en aumento. Discusión: La meta en el tratamiento del trauma testicular es preservar el tejido viable y reparar el testículo. El cierre primario está descrito ante una laceración de la túnica albugínea con bordes fácilmente identificables, lo cual no fue posible en este caso. Dentro de las reparaciones descritas existen injertos de túnica vaginalis, mallas de material reabsorbible y biológicas con resultados no concluyentes. El uso de túnica albugínea como reparación y protección del testículo contralateral, permitió una reconstrucción óptima; evitando el aumento de presión que se produce al usar la túnica ipsilateral y permitiendo la preservación del parénquima y fisiología testicular.

scholarly journals Severe Penile Curvature following Otis Urethrotomy

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Ersagun Karaguzel ◽  
Metin Gur ◽  
Dogan S. Tok ◽  
İlke O. Kazaz ◽  
Huseyin Eren ◽  
...  
Keyword(s):  
Urethral Stricture ◽  
Tunica Albuginea ◽  
High Recurrence Rate ◽  
Penile Curvature ◽  
Corpus Spongiosum ◽  
Tunica Vaginalis ◽  
Internal Urethrotomy ◽  
Urethral Catheterization ◽  
Cold Knife

Urethral stricture is a common urological pathology with a high recurrence rate after treatment. Urethral manipulations are among its main causes. In this paper, urethral stricture developed secondary to urethral catheterization and was treated with cold-knife internal urethrotomy and the Otis urethrotomy procedure. During the follow-up period, severe ventral penile curvature preventing sexual intercourse developed due to fibrosis of the corpus spongiosum and tunica albuginea of the penis. This ventral penile curvature was corrected with a separate operation using a tunica vaginalis flap harvested from the left scrotum.

scholarly journals Inflammatory pseudotumor of the tunica albuginea and the tunica vaginalis: Case-report

2019 ◽  
Vol 26 ◽  
pp. 100954 ◽  
Author(s):  
Kamiran J. Sadeeq ◽  
Rafil T. Yaqo ◽  
Ayad Ahmad Mohammed
Keyword(s):  
Case Report ◽  
Inflammatory Pseudotumor ◽  
Tunica Albuginea ◽  
Tunica Vaginalis

Detorsion Plus Tunica Vaginalis Flap Coverage in the Management of Ischemic Testis Following Torsion: Experience in Dhaka Shishu (Children) Hospital

2020 ◽  
Vol 35 (2) ◽  
pp. 141-144
Author(s):  
Md Ayub Ali ◽  
Md Hasanuzzaman ◽  
Paritosh Kumar Palit
Keyword(s):  
Categorical Data ◽  
Testicular Torsion ◽  
Tunica Albuginea ◽  
Psychological Trauma ◽  
Testicular Atrophy ◽  
Tunica Vaginalis ◽  
Statistical Software ◽  
Flap Coverage ◽  
Hormonal Dysfunction ◽  
Salvage Rate

Background: Testicular torsion leads to devastating consequences in young boys, about 42% undergo an Orchiectomy resulting in reduced fertility, testicular hormonal dysfunction and psychological trauma. Objective: The aim was to evaluate the testicular salvage rate after detorsion plus tunica albuginea incision with tunica vaginalis flap coverage with orchiopexy. Methods: This was an observational study conducted from January 2016 to December 2017. Data were collected from operation theater and surgery ward register. Data were analyzed using SPSS version 20 statistical software. Continuous data were presented as mean ± SD and categorical data were presented as percentage. Results: Total numbers of patients were 15. Most of the patients presented after 24 hours. Rate of atrophy of testis after orchiopexy was higher in patients presented after 24 hours. Only 4 patients had recognizable testicular atrophy. Surgical site infection was not present in this study. Conclusion: Tunica albuginea incision with tunica vaginalis flap coverage after detorsion with orchiopexy provides more salvage rate in the management of ischemic testis following torsion. DS (Child) H J 2019; 35(2) : 141-144

scholarly journals Multiple Paratesticular Fibrous Pseudotumors in an Adult Patient: Case Report

2019 ◽  
Author(s):  
Mehdi Kardoust Parizi ◽  
Seyed Ali Momeni ◽  
Ghazal Ameli
Keyword(s):  
Spindle Cell ◽  
Frozen Section ◽  
Tunica Albuginea ◽  
Normal Serum ◽  
Tunica Vaginalis ◽  
Patient Case ◽  
Microscopic Appearance ◽  
Paratesticular Mass ◽  
Section Evaluation ◽  
Inflammatory Tissue

Abstract- Paratesticular fibrous pseudotumors (PFP) are relatively rare benign spindle cell tumors. These tumors usually are originated from testicularis tunics and grow into the epididymis and spermatic cord. PFP is a consequent of a reactive proliferation of inflammatory tissue. We report a case of PFP with simultaneous multiple tunica albuginea and tunica vaginalis lesions. A 33-year-old man presented with painless right scrotal lump, normal serum tumor markers, and one centimeter paratesticular mass in ultra-sonography that underwent testis-sparing surgery due to a benign microscopic appearance in frozen section evaluation. Testis sparing surgery can be considered as the preferred management because of the lack of obvious evidence of potential malignancy in this tumor

scholarly journals More Than Just Torsion: An Unusual Case of Testicular Pain

2019 ◽  
Vol 185 (5-6) ◽  
pp. e900-e903
Author(s):  
Clyde Donald Martin ◽  
Eric Sulava ◽  
Adam Bloom
Keyword(s):  
Unusual Case ◽  
Tunica Albuginea ◽  
Tunica Vaginalis ◽  
Sexually Transmitted ◽  
Abdominal Infection ◽  
Testicular Pain ◽  
Fournier Gangrene ◽  
Control Fluid ◽  
Intra Abdominal Infection ◽  
Purulent Fluid

Abstract Testicular pain has a wide differential and the nonspecific presentation should be triaged rapidly for urgent diagnosis and treatment. Scrotal pyoceles are uncommon collections of purulent fluid between the visceral and parietal tunica vaginalis, usually secondary to acute epididymo-orchitis, intra-abdominal infection, or trauma. Epididymitis and epididymo-orchitis are generally secondary to sexually transmitted infections or urinary tract pathogens. Epidymo-orchitis can compromise the testicular blood supply, leading to a microinfarction and rupture through the tunica albuginea; inflammatory and infectious material then translocate into the tunica vaginalis leading to the formation of a pyocele. Ultrasonography is the preferred method of diagnostic imaging, which can show a classic “falling snow” sign, loculations, or gas. The treatment for a scrotal pyocele is pain control, fluid resuscitation, broad-spectrum antibiotics, and early urology/general surgery consultation. In such cases, Fournier gangrene (FG) should be clinically ruled out and the presence of signs of Fournier gangrene should be met with an urgent surgical consult.

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