No abstract available.
Scrotum* ; Wounds and Injuries*

Humans ; Male ; Scrotum/injuries* ; Testis/injuries*

The number of skin graft operations following the soft tissue injuries has been increasing year after .year, as the number of industrial business is growing fast in Seoul district. We have performed one hundred and two cases of skin graft, mainly for the extremities injury in the orthopedic surgical department alone during last sixteen months (from January. l968 to Apri1, 1969) including two plastic operation for the penile skin which involves, very rarely because of an anatomical .stand point The plastic repair of penile skin was done by means of Goodwin's technic. The pedicle skin wag donated from the scrotum for the completely necrotized penile skin which was developed following the attempt of removal of the penile paraffinoma.
Commerce ; Extremities ; Orthopedics ; Plastics* ; Scrotum ; Seoul ; Skin* ; Soft Tissue Injuries ; Transplants*

The incidence of complications has greatly increased in proportion to the modernized and sophisticated urologic techniques. The following are the results of a clinical survey made for the operations and ensuing complications among the in-patients at the Department of Urology, Han Yang University Hospital during the period of May 1972-May 1978. 1. The operated cases were 840 out of 1160 hospitalized patients, giving a ration of 72.4%. 2. The methods of anesthesia were as follows ; General endotracheal anesthesia 648 (77. 1%), Spinal anesth. 72 (8.6%), Local anesth. 72 (8.6%), and Caudal anesth. 29(3.5%) 3. Total numbers of complications were 120 complications were noted among 42 cases of urethra operation. 27 cases of bladder operation. 15 cases of kidney operation, and so on. 4. Organ distribution of this complication were as follow ; kidney 15. ureter 12, bladder 27, prostate 4, urethra 42, and scrotum and its contents were 12. 5. The most commonly observed complication vas wound abscess which occurred in 25 cases (20.8%) out of the total number of 120 complications, eventhough each operation has its specific finding of complication.
Abscess ; Anesthesia ; Humans ; Incidence ; Kidney ; Prostate ; Scrotum ; Ureter ; Urethra ; Urinary Bladder ; Urology ; Wounds and Injuries

A hypoplastic empty scrotum is a critical factor in the success of implantation of artificial testis. A hypoplastic scrotum increases the postoperative complication, such as wound dehiscence and prosthesis extrusion. Any technique cannot overcome this problem satisfactorily. Furthermore previous operative scars and inflammatory disease as epididymo-orchitis have often added to the difficulties. Enlarging the scrotum by gradual distention of a tissue expander implanted in the contracted scrotum has been successful in overcoming this problem. We report a case of successful artificial testes implantation after gradually enlarging scrotum by tissue expander in a 6 year old boy, who was diagnosed anorchidism with scrotal hypoplasia.
Child ; Cicatrix ; Humans ; Male ; Postoperative Complications ; Prostheses and Implants ; Scrotum ; Testis* ; Tissue Expansion Devices* ; Wounds and Injuries

Paraffin injection for penile augmentation and the resulting complications are not rarer in Korea. However, adequate management of these patients is not well known. Herein we present 20 cases of penile paraffinoma. The most common presentation was pain on erection. Penile paraffinoma usually involved skin and all the subcutaneous tissue including Buck's fascia, and extended into pubis and/or scrotum in 7 patients. Out of 20 patients, earlier 4 were managed by partial excision and primary closure, and all the 4 required secondary. operation because of complications or persistent symptoms. Remaining l6 patients were managed by wide excision of all the involved layers in to and adequate coverage of denuded penis by intact penile skin, scrotal skin flap, or Cecil`s two stage operation. Of remaining l6 cases, only 2 required additional operation; the one by the full thickness skin graft of partial scrotal flap necrosis, the other by the wound repair. All the 20 patients showed successful outcome. We think that the best treatment of penile paraffinoma is complete excision and primary scrotal skin flap neoplasty."
Fascia ; Humans ; Korea ; Male ; Necrosis ; Paraffin ; Penis ; Scrotum ; Skin ; Subcutaneous Tissue ; Transplants ; Wounds and Injuries

Adult ; Burns ; etiology ; Humans ; Male ; Middle Aged ; Paraquat ; adverse effects ; Scrotum ; injuries

PURPOSETo enhance the awareness of rare complications of pelvic fracture and describe the correct diagnosis and effective treatment.

METHODSA total of 188 cases of pelvic fractures were retrospectively reviewed, and four patients who suffered from four types of rare pelvic fracture complications were described, namely ureteral obstruction caused by retroperitoneal hematoma-induced abdominal compartment syndrome (ACS), bowel entrapment, external iliac artery injury, and open scrotal sac injury.

RESULTSWe demonstrated that combined measures should be employed to prevent the occurrence of ACS following major pelvic fractures. Ureteral catheter support may be a good option at an early stage when ACS occurred. Contrasted computed tomography examination and sufficient awareness are keys to a correct diagnosis of bowel entrapment following pelvic fractures. Recognition of risk factors, early diagnosis, and prompt treatment of suspected injury of the external iliac artery are keys to patient survival and to avoid limb loss. Scrotal and/or testicular injury complicated by pelvic fractures should be carefully treated to maintain normal gonad function. Additionally, establishment of a sophisticated trauma care system and multi-disciplinary coordination are important for correct diagnosis and treat- ment of rare complications in pelvic fractures.

CONCLUSIONSRare complications of pelvic fractures are difficult to diagnose and negatively impact outcome. Recognition of risk factors and sufficient awareness are essential for correct diagnosis and prompt treatment.

Adult ; Female ; Fractures, Bone ; complications ; Humans ; Iliac Artery ; injuries ; Intra-Abdominal Hypertension ; diagnosis ; therapy ; Male ; Middle Aged ; Pelvic Bones ; injuries ; Scrotum ; injuries ; Testis ; injuries ; Tomography, X-Ray Computed

OBJECTIVETo explore the influence of Free-skin-grafted penoscrotal avulsion injuries on spermatogenesis.

METHODSForty-two male New Zealand albino rabbits during child-bearing period were divided into the experimental group (n = 24) and the control group (n = 18) using random digits table, and 24 female rabbits with reproductive history were used for mating experiment. The experimental group animal's scrotum skin were excised, and the split skin from abdominal region was used to repair the skin defect of scrotum. The control group did not any processing. Six rabbits were randomly chosen respectively in control group and on the 3rd and 8th weekend after the model was successfully established in experimental group. The testicular surface temperature was measured in the eighteen rabbits using the method of burying thermometer, then the testicular biopsy were performed for hematoxylin-eosin (HE) staining. On the 8(th) weekend after the model was successfully established in experimental group, matched-pair feed was performed in the other 12 rabbits respectively in experimental group and in control group. Observation of corresponding mother rabbit fertility. Three patients of penoscrotal avulsion injuries were treated using split skin grafts, and the information of sex life and the quality of sperm were obtained by follow up.

RESULTSThe testicular surface temperature was similar on the 3rd and 8th weekend after the model was successfully established in experimental group [(36.15 ± 0.24)°C, (36.77 ± 0.42)°C] with that of the control group. Testis tissue (HE) staining showed the tier of spermatogenic cells was rule arrangement and lot of mature sperms were found in the convoluted seminiferous tubules in control group. The tier of spermatogenic cells was diminished and disposed derangement, the spermatozoa were not seen on the 3(th) weekend of the experiment group. The tier of spermatogenic cells was increased and some spermatozoa were seen on the 8th weekend of the experiment group. Male and female matched-pair feed showed the experimental group conception rate 8/12, and 4.1 ± 3.2 rabbit babies were born averagely, while that of was 12/12 and 6.0 ± 1.3 in control group (P > 0.05). The skin grafts there were some contracture in early stage (1 - 2 months) when the skin grafts applied to repair the avulsing scrotum in three patients. But the skin grafts became loose with downward sagging and there were the good cosmetic result in one year, and without any contracture. The sperm quality was normal after the skin grafts applied to repair the avulsing scrotum in the late stage.

CONCLUSIONSThe skin grafting is little arrest the testicle spermatogenesis in the three methods (skin flap reconstruction scrotum, testicle buried, split skin grafting) that have usually been used to repair scrotum skin lose. For a young male, the best treatment for penoscrotal avulsion injuries is free skin grafting, while skin flaps are not recommended for reconstructing the scrotum.

Adult ; Animals ; Female ; Follow-Up Studies ; Humans ; Male ; Rabbits ; Scrotum ; injuries ; surgery ; Skin Transplantation ; methods ; Spermatogenesis ; Surgical Flaps

OBJECTIVETo establish an animal model of acute blunt scrotal trauma (BST) and evaluate the types of lesion by conventional ultrasonography (CUS) and contrast-enhanced ultrasonography (CEUS).

METHODSWe made acute BST models in 21 healthy male New Zealand rabbits by striking 3 - 12 times the unilateral testes randomly selected with a 0. 5 kg iron ball falling freely from a 30 cm height. Then we evaluated the lesion types in the models by CUS and CEUS and verified our evaluation against pathological results.

RESULTSAcute BST models were successfully established in all the 21 animals, including contusion in 10, hematoma in 6, and rupture in 5, all confirmed by pathology. CUS clearly manifested the morphology, internal echoes, and blood flow of the testes, but had a low rate of accurate diagnosis in testicular contusion for over 6 hours as well as in complex lesions. CEUS revealed an earlier perfusion of the contrast agent and shorter arriving time (AT) and time to peak intensity ( TP) in testicular contusion than in the control testes (P <0.05) , but showed no statistically significant difference between the two groups in the half time of descending peak intensity (P>0.05). For testicular hematoma, contrast agent clearly presented its outline and a delayed low enhancement in the surrounding tissue, with significant differences from the control in AT and TTP. In severe testis rupture, occasional outflow but no perfusion of contrast agent was observed.

CONCLUSIONBST models can be established in rabbits by repeated strikes of the unilateral testes lesion of contrast agent was observed. with a freely falling iron ball. Simple contusion injury can be induced by less than 6 strikes, while complex injuries can be inflicted by more than 10. Combined application of CUS and CEUS can improve the accuracy of diagnosis of different types of lesion.

Acute Disease ; Animals ; Disease Models, Animal ; Male ; Rabbits ; Scrotum ; diagnostic imaging ; injuries ; Ultrasonography ; Wounds, Nonpenetrating ; diagnostic imaging