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Dartos Fascia Interposition Flap for Penetrating Cavernosal and Urethral Trauma
We present an unusual case of a single gunshot to the genitalia in which the bullet trajectory injured the urethra, corpus cavernosum, and both testicles. All injuries were successfully repaired during initial exploration. Our report serves as a reminder to clinicians to have a high index of suspici...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5137170/ https://www.ncbi.nlm.nih.gov/pubmed/27920989 http://dx.doi.org/10.1016/j.eucr.2016.11.015 |
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author | Yang, Hailiu Brown, Robert D. Chovanes, John Seftel, Allen D. |
author_facet | Yang, Hailiu Brown, Robert D. Chovanes, John Seftel, Allen D. |
author_sort | Yang, Hailiu |
collection | PubMed |
description | We present an unusual case of a single gunshot to the genitalia in which the bullet trajectory injured the urethra, corpus cavernosum, and both testicles. All injuries were successfully repaired during initial exploration. Our report serves as a reminder to clinicians to have a high index of suspicion in this circumstance and consider immediate exploration of all the injured areas. We also demonstrate the use of a dartos fascia interposition flap to cover and separate the concomitant urethral and corporal sutures lines. Our dartos flap bolstered the urethral and cavernosal repairs and helped prevent postoperative corporourethral fistula formation. |
format | Online Article Text |
id | pubmed-5137170 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-51371702016-12-05 Dartos Fascia Interposition Flap for Penetrating Cavernosal and Urethral Trauma Yang, Hailiu Brown, Robert D. Chovanes, John Seftel, Allen D. Urol Case Rep Trauma and Reconstruction We present an unusual case of a single gunshot to the genitalia in which the bullet trajectory injured the urethra, corpus cavernosum, and both testicles. All injuries were successfully repaired during initial exploration. Our report serves as a reminder to clinicians to have a high index of suspicion in this circumstance and consider immediate exploration of all the injured areas. We also demonstrate the use of a dartos fascia interposition flap to cover and separate the concomitant urethral and corporal sutures lines. Our dartos flap bolstered the urethral and cavernosal repairs and helped prevent postoperative corporourethral fistula formation. Elsevier 2016-12-01 /pmc/articles/PMC5137170/ /pubmed/27920989 http://dx.doi.org/10.1016/j.eucr.2016.11.015 Text en © 2016 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Trauma and Reconstruction Yang, Hailiu Brown, Robert D. Chovanes, John Seftel, Allen D. Dartos Fascia Interposition Flap for Penetrating Cavernosal and Urethral Trauma |
title | Dartos Fascia Interposition Flap for Penetrating Cavernosal and Urethral Trauma |
title_full | Dartos Fascia Interposition Flap for Penetrating Cavernosal and Urethral Trauma |
title_fullStr | Dartos Fascia Interposition Flap for Penetrating Cavernosal and Urethral Trauma |
title_full_unstemmed | Dartos Fascia Interposition Flap for Penetrating Cavernosal and Urethral Trauma |
title_short | Dartos Fascia Interposition Flap for Penetrating Cavernosal and Urethral Trauma |
title_sort | dartos fascia interposition flap for penetrating cavernosal and urethral trauma |
topic | Trauma and Reconstruction |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5137170/ https://www.ncbi.nlm.nih.gov/pubmed/27920989 http://dx.doi.org/10.1016/j.eucr.2016.11.015 |
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