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Intra-Testicular Papaverine Injection for Testicular Salvage after Blunt Testicular Trauma: A Case Report
Journal article   Open access   Peer reviewed

Intra-Testicular Papaverine Injection for Testicular Salvage after Blunt Testicular Trauma: A Case Report

Kevin Keating, Paulette C. Dreher, Jason Levy, Brian McGreen, Daniel Edwards and Susan Tarry
Current urology, v 13(2)
01 Oct 2019
DOI: https://doi.org/10.1159/000499283
PMID: 31768179
url
https://doi.org/10.1159/000499283View
Published, Version of Record (VoR)CC BY-NC-ND V4.0,  Open

Abstract

Case Report Papaverine Testicular trauma
Blunt trauma is the most common mechanism of injury to the scrotum and testicle. Surgical exploration with primary repair, hematoma evacuation, and de-torsion are common surgical interventions. A 20-year-old male with no previous medical history presented after a high-speed motor vehicle collision. Ultrasonography demonstrated heterogeneous changes of the tunica albuginea and decreased arterial flow to bilateral testicles. He was subsequently taken to the operating room for surgical exploration, which revealed bilateral mottled testes with questionable viability. Papaverine was injected into each testicle, which resulted in visibly increased perfusion and subsequent preservation of the testicles. Conclusion: Current evidence on the use of papaverine is isolated to testicular torsion. Additional research should be conducted on the use of papaverine in blunt testicular trauma. Papaverine injection may be a valuable treatment option when inadequate perfusion is observed intra-operatively.

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