eMedicine Specialties > Urology > Trauma

Scrotal Trauma: Follow-up

Author: Robert A Mevorach, MD, Associate Professor, Departments of Urology and Pediatrics, University of Rochester School of Medicine
Contributor Information and Disclosures

Updated: Jul 17, 2009

Outcome and Prognosis

Long-term success with skin grafting for scrotal injury is excellent. Only 20% of patients require significant revisions or reconstructions, and these are routinely outpatient procedures.

Testis viability is highly variable and is largely dependent on the extent of tissue devascularization. Statistical analysis is not pertinent and must be individualized.

Future and Controversies

Areas of research that eventually may impact scrotal trauma include tissue engineering and the biochemical modifiers for ischemic tissue damage.

Tissue engineering has already produced acceptable skin for grafting, but even more interesting would be a reconstruction of the scrotal wall, detrusor included, that could be grafted to a clean wound bed. This would obviate the need for mere skin coverage of the scrotum, which is never a true cosmetic success.

Modifiers of free-radical injury (eg, allopurinol) may be useful adjuncts to surgical intervention in patients who may have a borderline viability of the testis or who are considered for revascularization.

 


More on Scrotal Trauma

Overview: Scrotal Trauma
Workup: Scrotal Trauma
Treatment: Scrotal Trauma
Follow-up: Scrotal Trauma
Multimedia: Scrotal Trauma
References
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References

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  3. Catalano O, Lobianco R, Sandomenico F, et al. Real-time, contrast-enhanced sonographic imaging in emergency radiology. Radiol Med (Torino). Nov-Dec 2004;108(5-6):454-69. [Medline].

  4. Jankowski JT, Spirnak JP. Current recommendations for imaging in the management of urologic traumas. Urol Clin North Am. Aug 2006;33(3):365-76. [Medline].

  5. Kerins M, Greene S, O'Connor N. A human bite to the scrotum: a case report and review of the literature. Eur J Emerg Med. Aug 2004;11(4):223-4. [Medline].

  6. Ko SF, Ng SH, Wan YL, et al. Testicular dislocation: an uncommon and easily overlooked complication of blunt abdominal trauma. Ann Emerg Med. Mar 2004;43(3):371-5. [Medline].

  7. Morey AF, Metro MJ, Carney KJ, et al. Consensus on genitourinary trauma: external genitalia. BJU Int. Sep 2004;94(4):507-15. [Medline].

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Further Reading

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Keywords

scrotal trauma, testis trauma, scrotal avulsion, blunt scrotal trauma, penetrating scrotal trauma, scrotal swelling, scrotal hematoma, scrotal wall ecchymosis, scrotal injury avulsion, scrotal injury, scrotum injury, scrotum trauma

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Contributor Information and Disclosures

Author

Robert A Mevorach, MD, Associate Professor, Departments of Urology and Pediatrics, University of Rochester School of Medicine
Robert A Mevorach, MD is a member of the following medical societies: American Academy of Pediatrics and American Urological Association
Disclosure: Nothing to disclose.

Medical Editor

Edmund S Sabanegh Jr, MD, Director, Center for Male Fertility, Glickman Urological and Kidney Institute, Cleveland Clinic Foundation
Edmund S Sabanegh Jr, MD is a member of the following medical societies: American College of Surgeons, American Medical Association, American Society for Reproductive Medicine, American Society of Andrology, American Urological Association, Society for the Study of Male Reproduction, Society of Reproductive Surgeons, and Southwest Oncology Group
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

Martin I Resnick, MD †, Former Lester Persky Professor and Chair, Department of Urology, Former Professor, Department of Oncology, Case Western Reserve University School of Medicine
Martin I Resnick, MD † is a member of the following medical societies: American College of Surgeons, American Federation for Medical Research, American Institute of Ultrasound in Medicine, American Medical Association, American Society for Bone and Mineral Research, American Society for Reproductive Medicine, American Society of Andrology, American Surgical Association, American Urological Association, Association for Academic Surgery, Endocrine Society, National Kidney Foundation, Ohio Urological Society, and Pan American Medical Association
Disclosure: Nothing to disclose.

CME Editor

J Stuart Wolf Jr, MD, FACS, David A Bloom Professor of Urology, Director of Division of Minimally Invasive Urology, Department of Urology, University of Michigan
J Stuart Wolf Jr, MD, FACS is a member of the following medical societies: American College of Surgeons, American Urological Association, Catholic Medical Association, Endourological Society, Society for Urology and Engineering, Society of Laparoendoscopic Surgeons, Society of University Urologists, and Society of Urologic Oncology
Disclosure: Terumo Corporation Consulting fee Consulting; Omeros Corporation Consulting fee Consulting

Chief Editor

Bradley Fields Schwartz, DO, FACS, Professor of Urology, Director, Center for Laparoscopy and Endourology, Department of Surgery, Southern Illinois University School of Medicine
Bradley Fields Schwartz, DO, FACS is a member of the following medical societies: American College of Surgeons, American Urological Association, Association of Military Osteopathic Physicians and Surgeons, Endourological Society, Society of Laparoendoscopic Surgeons, and Society of University Urologists
Disclosure: Nothing to disclose.

 
 
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