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Journal article
Intra-Testicular Papaverine Injection for Testicular Salvage after Blunt Testicular Trauma: A Case Report
Current urology, v 13(2)
01 Oct 2019
PMCID: PMC6873014
PMID: 31768179
Abstract
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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2 citations in Scopus
Details
- Title
- Intra-Testicular Papaverine Injection for Testicular Salvage after Blunt Testicular Trauma: A Case Report
- Creators
- Kevin Keating - Liberty UniversityPaulette C. Dreher - Hahnemann University HospitalJason Levy - Hahnemann University HospitalBrian McGreen - Hahnemann University HospitalDaniel Edwards - Hahnemann University HospitalSusan Tarry - Hahnemann University Hospital
- Publication Details
- Current urology, v 13(2)
- Publisher
- S. Karger AG
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Medicine
- Scopus ID
- 2-s2.0-85073158488
- Other Identifier
- 991019173618804721