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Trauma Genital Trauma
In penetrating trauma of the external genital in men, urethrography is
recommended. Surgical exploration, conservative debridement of Jorge López-Tello is a Consultant Urologist in the
necrotic tissue and primary closure when possible is recommended.
31 Urology Unit at the Hospital Infanta Sofia and University
Hospital La Paz in Madrid. He specialises in open
surgery including endoscopic, laparoscopic, and
Blunt trauma to the scrotum may cause subcutaneous haematoma, microsurgery. He has been a researcher in several
haematoscrotum, testicular dislocation and/or testicular rupture.
clinical trials conducted at Hospital La Paz and
authored many articles and book chapters in the area
Dislocation is rare, but rupture is found in about 50% of direct blunt
of urology. Dr López-Tello gained his medical degree at
traumas to the scrotum. Universidad Autonoma de Madrid and trained at
Hospital La Paz, Madrid.
Testicular trauma without haematocele or with small haematocele
Luis Martínez-Piñeiro is Chairman of the Urology Unit at
can be treated with non-steroidal analgesics and icepacks. If a
the Hospital Infanta Sofia in Madrid and Professor of the
haematocele is large, surgical exploration is recommended. Testicular European School of Urology (ESU). He is Chairman of
rupture will require the excision of necrotic testicular tubules and
the Section Office of the European Association of
Urology (EAU) and an Associate Editor of Archivos
closure of the tunica albuginea. Extended laceration of scrotal skin
Españoles de Urología.
requires surgical intervention for skin closure. Blunt trauma of the
vulva is rare and commonly present as haematomas. Conservative
treatment is often sufficient. n
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kidney, J Trauma, 1989,972:54. kidney injuries, Acta Urol Belg, 1998;66:25. 23. Corriere JN Jr, et al., Management of the ruptured bladder:
3. McGahan D, et al., Use of ultrasonography in the patient 13. Santucci RA, et al., Grade IV renal injuries: evaluation, seven years of experience with 111 cases, J Trauma, 1986;
with acute renal trauma, J Ultrasound Med, 1999;18:207. treatment and outcome, World J Surg, 2001;25:1565. 26:830.
4. Bent C, et al., Urological injuries following trauma, Clin 14. Velmahos CG, et al., Selective Management of renal 24. Morey AF, et al., Reconstructive surgery for trauma of the
Radiol, 2008;63(12):1361–71. gunshot rounds, Br J Surg, 1998;85:1121. lower urinary tract, Urol Clin North Am, 1999;26:49.
5 Kawashima A, et al., Imaging of renal trauma: a 15. Haas CA, et al., Use of ureteral stents in the management 25. Devine PC, et al., Posterior urethral injuries associated
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6. Memon S, Cheung BY, Long-Term Results of Blunt a role?, J Endourol, 1998;12:545. 26. Koraitim, et al., Pelvic fracture urethral injuries: the
Traumatic Renal Artery Dissection Treated by 16. Henderson CG, et al., Management of high grade renal unresolved controversy, J Urol, 1999;161:1433.
Endovascular Stenting, Cardiovasc Intervent Radiol, trauma: 20-year experience at a pediatric level I trauma 27. Chapple CR, Png D, Contemporary management of
2005;28(5):668–9. center, J Urol, 2007;178(1):246–50. urethral trauma and the post-traumatic stricture, Curr Opin
7. Dobrilovic N, et al., Traumatic renal artery dissection 17. Cass AS, Luxenberg M. Traumatic thrombosis of a Urol, 1999; 9:253.
identified with dynamic helical computed tomography, segmental branch of the renal artery, J Urol, 28. Martinez-Piñeiro JA, et al., Excision and anastomotic
J Vasc Surg, 2001;34(3):562–4. 1987;137(6):1115–6. repair for urethral stricture disease. Experience with 150
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Modalities of management in adults and children, Prog Trauma. A Review, Urology, 2007;70:623–9. 29. Nicolaisen GS, et al., Rupture of the corpus cavernosum:
Urol, 2004;14(3):302–9 19. Palmer LS, et al., Penetrating ureteral trauma at an urban surgical management, J Urol, 1983;130(5):917–19.
9. McAninch JW, et al., Renal reconstruction after injury, trauma center: 10-year experience, Urology, 1999;54:34. 30. Orvis BR, et al., Penile rupture, Urol Clin North Am,
J Urol, 1991;145:932. 20. Dobrowolski Z, et al., Renal and ureteric trauma: diagnosis 1989;16(2): 369–75.
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66 EUROPEAN UROLOGICAL REVIEW
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