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Rupture of Testicular Tunica Albuginea: A Urological Emergency

Rupture of Testicular Tunica Albuginea: A Urological Emergency Background: Road traffic accident, commonly enunciated as “RTA”, is the leading cause of morbidity and mortality worldwide. However, for a urologist, an “RTA” could imply “Rupture of the testicular Tunica Albuginea”, with equivalent, if not higher psychosocial, anatomical and hormonal morbidity and/or mortality. Blunt or penetrating trauma, or degloving injuries, may lead to an RTA, with extrusion of the testicular seminiferous tubules, mandating an early diagnosis and prompt intervention, in order to prevent future complications. Method: A thorough “pubmed” search was conducted with the terms “testicular rupture” and “tunica albuginea rupture”, and all English language articles with these terms in title or abstract, were included in this review. Results/ Conclusion: The following review highlights this urological emergency as an important differential for an “acute scrotum” and provides an insight into the currently available literature documenting testicular ruptures, as well as the various diagnostic modalities and management practices. Additional food for thought remains the need for long term follow up of these patients, in order to assess for hypogonadism or infertility as well as the need to understand the role of the “blood-testis barrier” and possible implications of its breach, with auto antibody production. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Current Urology Karger

Rupture of Testicular Tunica Albuginea: A Urological Emergency

Aggarwal, Gaurav; Adhikary, Samiran
Current Urology , Volume 9 (4): 4 – Jan 1, 2016
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Publisher
Karger
Copyright
© 2015 S. Karger AG, Basel
ISSN
1661-7649
eISSN
1661-7657
DOI
10.1159/000447137
Publisher site
See Article on Publisher Site

Abstract

Background: Road traffic accident, commonly enunciated as “RTA”, is the leading cause of morbidity and mortality worldwide. However, for a urologist, an “RTA” could imply “Rupture of the testicular Tunica Albuginea”, with equivalent, if not higher psychosocial, anatomical and hormonal morbidity and/or mortality. Blunt or penetrating trauma, or degloving injuries, may lead to an RTA, with extrusion of the testicular seminiferous tubules, mandating an early diagnosis and prompt intervention, in order to prevent future complications. Method: A thorough “pubmed” search was conducted with the terms “testicular rupture” and “tunica albuginea rupture”, and all English language articles with these terms in title or abstract, were included in this review. Results/ Conclusion: The following review highlights this urological emergency as an important differential for an “acute scrotum” and provides an insight into the currently available literature documenting testicular ruptures, as well as the various diagnostic modalities and management practices. Additional food for thought remains the need for long term follow up of these patients, in order to assess for hypogonadism or infertility as well as the need to understand the role of the “blood-testis barrier” and possible implications of its breach, with auto antibody production.

Journal

Current Urology – Karger

Published: Jan 1, 2016

Keywords: Testicular rupture; Tunica albuginea rupture; Acute scrotum; Blood-testis barrier; Urological emergency

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