Threatened fertility and gonadal function after a polytraumatic, life-threatening injury
Trauma literature regarding management of genitalia trauma affecting future fertility and gonadal function in the face of coexisting life-threatening injuries is underdeveloped. We present a unique case that necessitated integrative management of a 24-year-old male who became entangled within the bl...
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Wolters Kluwer Medknow Publications
2010-01-01
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doaj-5ec505925cb847b080b08beeb297d0f62020-11-25T01:13:44ZengWolters Kluwer Medknow PublicationsJournal of Emergencies, Trauma and Shock0974-27000974-519X2010-01-0132199203Threatened fertility and gonadal function after a polytraumatic, life-threatening injuryWard MichaelBurgess PamelaWilliams DanielHerrforth CaseyBentz MichaelFaucher LeeTrauma literature regarding management of genitalia trauma affecting future fertility and gonadal function in the face of coexisting life-threatening injuries is underdeveloped. We present a unique case that necessitated integrative management of a 24-year-old male who became entangled within the blades of a manure spreader and presented with life-threatening trauma in addition to severe genital trauma, including penile degloving, bilateral testicular avulsion and bilateral spermatic cord laceration. During the initial stabilization and surgical management, urology and plastic surgery were consulted to assess the urogenital injuries. Together, the surgical team orchestrated potentially life-saving interventions while successfully performing both a testicular sperm extraction and a testicular revascularization. Viable sperm was collected on the day of surgery and initial follow-up showed preserved sexual function and adequate perfusion to the testicle. This report presents a case and provides a review discussing the management of traumatic genital injuries and the importance of early involvement of surgical specialties in genitalia trauma to optimize future fertility and gonadal function. The literature search was performed in August 2008 using Medline for articles only in English, including any of the following terms: polytrauma, trauma, penis, testicle, degloving, avulsion, spermatic cord, laceration, fertility, reproduction or revascularization.http://www.onlinejets.org/article.asp?issn=0974-2700;year=2010;volume=3;issue=2;spage=199;epage=203;aulast=WardPolytraumagenitaltraumafertilitytesticlerevascularizationreproduction |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ward Michael Burgess Pamela Williams Daniel Herrforth Casey Bentz Michael Faucher Lee |
spellingShingle |
Ward Michael Burgess Pamela Williams Daniel Herrforth Casey Bentz Michael Faucher Lee Threatened fertility and gonadal function after a polytraumatic, life-threatening injury Journal of Emergencies, Trauma and Shock Polytrauma genital trauma fertility testicle revascularization reproduction |
author_facet |
Ward Michael Burgess Pamela Williams Daniel Herrforth Casey Bentz Michael Faucher Lee |
author_sort |
Ward Michael |
title |
Threatened fertility and gonadal function after a polytraumatic, life-threatening injury |
title_short |
Threatened fertility and gonadal function after a polytraumatic, life-threatening injury |
title_full |
Threatened fertility and gonadal function after a polytraumatic, life-threatening injury |
title_fullStr |
Threatened fertility and gonadal function after a polytraumatic, life-threatening injury |
title_full_unstemmed |
Threatened fertility and gonadal function after a polytraumatic, life-threatening injury |
title_sort |
threatened fertility and gonadal function after a polytraumatic, life-threatening injury |
publisher |
Wolters Kluwer Medknow Publications |
series |
Journal of Emergencies, Trauma and Shock |
issn |
0974-2700 0974-519X |
publishDate |
2010-01-01 |
description |
Trauma literature regarding management of genitalia trauma affecting future fertility and gonadal function in the face of coexisting life-threatening injuries is underdeveloped. We present a unique case that necessitated integrative management of a 24-year-old male who became entangled within the blades of a manure spreader and presented with life-threatening trauma in addition to severe genital trauma, including penile degloving, bilateral testicular avulsion and bilateral spermatic cord laceration. During the initial stabilization and surgical management, urology and plastic surgery were consulted to assess the urogenital injuries. Together, the surgical team orchestrated potentially life-saving interventions while successfully performing both a testicular sperm extraction and a testicular revascularization. Viable sperm was collected on the day of surgery and initial follow-up showed preserved sexual function and adequate perfusion to the testicle. This report presents a case and provides a review discussing the management of traumatic genital injuries and the importance of early involvement of surgical specialties in genitalia trauma to optimize future fertility and gonadal function. The literature search was performed in August 2008 using Medline for articles only in English, including any of the following terms: polytrauma, trauma, penis, testicle, degloving, avulsion, spermatic cord, laceration, fertility, reproduction or revascularization. |
topic |
Polytrauma genital trauma fertility testicle revascularization reproduction |
url |
http://www.onlinejets.org/article.asp?issn=0974-2700;year=2010;volume=3;issue=2;spage=199;epage=203;aulast=Ward |
work_keys_str_mv |
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