Testicular, epididymal and vasal injuries

Hendry, W. F.

doi:10.1046/j.1464-410x.2000.00105.x

Cited by 15 publications

(8 citation statements)

References 40 publications

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“…Ten of 44 patients who had total orchidectomy had damage to one of the major blood vessels supplying the affected testicle. The testicular artery, which is a branch of the aorta, freely anastomoses with the artery to the vas, which is a branch of the inferior vesicle artery, and the cremasteric artery, which is a branch of the inferior epigastric artery, and can sustain the viability of the testis [25]. According to Stillwell et al.…”

Section: Discussionmentioning

confidence: 99%

Trauma to male genital organs: a 10‐year review of 156 patients, including 118 treated by surgery

et al. 2007

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OBJECTIVE To assess testicular rupture, scrotal haematoma, penile fracture and penile injury, comparing the prognoses of surgery and conservative management, as trauma to male external genital organs can cause devastating effects on patients and their partners. PATIENTS AND METHODS We reviewed the medical records of 156 male patients who presented to our emergency centre with trauma to the external genital organs between January 1996 and March 2006. RESULTS In all, 74 patients had testicular rupture, 32 penile fracture, 26 a penile injury and 24 a scrotal haematoma (mean age 27.8 years). The main cause of trauma was assault (52, 33%). Four of 14 patients with penile trauma who were managed conservatively had complications. Of 20 patients, 17 had a partial orchidectomy and were followed for a month after surgery; scrotal ultrasonography showed three cases of testicular atrophy. The mean hospital stay was less for patients with surgical intervention, at 6.4 days, than for those managed conservatively, at 8.7 days (P < 0.05). A visual analogue pain scale showed less pain in patients who were surgically treated (P < 0.05). CONCLUSION Prompt surgical intervention is crucial; it should be considered by urologists, and is strongly recommended. Ultrasonography was highly sensitive and specific, and should be used in all patients with trauma to the external genital organs, to aid diagnosis and evaluation before surgery.

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Section: Discussionmentioning

confidence: 99%

Trauma to male genital organs: a 10‐year review of 156 patients, including 118 treated by surgery

et al. 2007

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“…Varicocelectomy, orchidopexy procedures, hydrocelectomy, appendectomy, epididymal cyst removal, epididymal biopsy, and renal transplantation may also result in iatrogenic vasal ligation or injury [8][9][10][11]. The data obtained from the image analyzer were subjected to the SPSS program version 15 (Chicago, USA).…”

Section: Discussionmentioning

confidence: 99%

“…However, the exposure would be sufficient to induce an immune response locally, with harmful effects on the epididymis and sperm [9,24]. If the exposure is not large enough to reach the lymph nodes, antisperm antibodies will not be present in the serum.…”

Section: Control Vasectomizedmentioning

confidence: 99%

Effect of unilateral obstruction of vas deferens on ipsilateral epididymis of adult albino rats

Azmy¹,

Allah²,

Mohamed

2012

The Egyptian Journal of Histology

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“…Testicular atrophy is an uncommon but well recognised complication of inguinal hernia repair and one that frequently results in litigation [16][17][18][19]. Overzealous dissection of the distal hernia sac beyond the pubic tubercle dislocation of the testis from the scrotum into the wound, recurrent hernia repair too tight reconstruction of the inguinal ring and damage of pampiniform plexus / thrombosis causing venous insufficiency of the testis and they all contribute to testicular atrophy.…”

Section: Discussionmentioning

confidence: 99%

Review of Inguinal Hernia Repairs by Various Surgical Techniques in a District General Hospital in the UK

et al. 2011

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Inguinal hernia is the commonest surgical operation. This is a large study from a district general hospital. The study spanned over 2 years with 2 further years of follow up. It is a retrospective analysis of eight hundred and seventy seven (877)inguinal hernia operations performed in a district general hospital. The following factors were looked at: type of repair, grade of surgeon performing the procedure and outcome of various repairs. The results showed that the most common technique was the Lichenstein's repair(58%). Recurrence rates were between 0.4%-30% depending on types of hernia repair.

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Testicular, epididymal and vasal injuries

Cited by 15 publications

References 40 publications

Trauma to male genital organs: a 10‐year review of 156 patients, including 118 treated by surgery

Trauma to male genital organs: a 10‐year review of 156 patients, including 118 treated by surgery

Effect of unilateral obstruction of vas deferens on ipsilateral epididymis of adult albino rats

Review of Inguinal Hernia Repairs by Various Surgical Techniques in a District General Hospital in the UK

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