Comparative Analysis of Detorsion Alone Versus Detorsion and Tunica Albuginea Decompression (Fasciotomy) with Tunica Vaginalis Flap Coverage in the Surgical Management of Prolonged Testicular Ischemia

Abstract

This preliminary experience suggests that tunica albuginea incision with tunica vaginalis flap coverage is a promising option for the management of clinically marginal torsed testes, enhancing salvageability after prolonged ischemia. We recommend considering this maneuver before performing orchiectomy in selected cases of testicular torsion.

Anatomical Targeting Improves Delivery of Unconjugated Nanoparticles to the Testicle

“…One disorder where anatomic targeting would be most useful is testicular torsion, where the gonadal vasculature is easily accessible by the surgeon and current management consisting of surgical de-torsion only allows salvage of the affected testicle in 64% of cases. 13 Most work with NPs has focused on cancer treatment as the impacts of systemically administered chemotherapies are especially toxic and tumor targeting is M A N U S C R I P T A C C E P T E D ACCEPTED MANUSCRIPT 12 simplified due to increased tumor vascular permeability. 14 Here we evaluate other targeting techniques which could be useful in benign pathologic processes.…”

Intracompartmental Pressure as a Predictor of Intratesticular Blood Flow: A Rat Model

“…16 They assessed color and appearance of the testis after detorsion of the affected testicle. No ICPs were measured.…”

Decompressive fasciotomy in testicular torsion of the spermatic cord in rats

“…Figueroa et al. 18 instituted tunica albuginea incision with tunica vaginalis flap coverage as an alternative in cases which the torsed testes continued to appear ischemic after detorsion. Testicular volume and parenchymal blood flow as measured by Doppler scrotal ultrasound were analyzed.…”