Tunica vaginalis pedicle flap for repair of ruptured testis: A single-center experience with four patients

R N Damle; J F Lalikos; J T Aidlen; P Ellsworth

doi:10.1016/j.jpurol.2017.04.013

Tunica vaginalis pedicle flap for repair of ruptured testis: A single-center experience with four patients

J Pediatr Urol. 2017 Oct;13(5):519-522. doi: 10.1016/j.jpurol.2017.04.013. Epub 2017 May 24.

Authors

R N Damle¹, J F Lalikos², J T Aidlen³, P Ellsworth⁴

Affiliations

¹ Department of Surgery, 55 Lake Ave North, Worcester, MA 01604, USA. Electronic address: rachelledamle@gmail.com.
² Division of Plastic Surgery, University of Massachusetts Medical School, Worcester, MA, USA.
³ Division of Pediatric Surgery, University of Massachusetts Medical School, Worcester, MA, USA.
⁴ Division of Urology, Nemours Children's Hospital, Orlando, FL, USA.

PMID: 28630019
DOI: 10.1016/j.jpurol.2017.04.013

Abstract

Management of testicular rupture with a large tunical defect may not be feasible without excision of viable tissue. This study describes the use of a vascularized tunica vaginalis flap, without debridement of viable tissue, in four adolescents. Postoperative ultrasound showed good blood flow and 80% volume of the contralateral testis in two cases. Postoperative exam revealed normal exam and ultrasonographic appearance in three patients, the fourth was demonstrated to be small and undescended during evaluation of contralateral testicular torsion. This approach is recommended in cases of large tunical defects, as it avoids the debridement of viable testicular tissue.

Keywords: Testicular rupture; Testicular trauma; Tunica vaginalis flap.

Publication types

Case Reports

MeSH terms

Adolescent
Humans
Male
Plastic Surgery Procedures*
Rupture / surgery*
Surgical Flaps*
Testis / injuries*
Testis / surgery*