5 Lake Ave North

Worcester, MA, United States

5 Lake Ave North

Worcester, MA, United States
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Damle R.N.,5 Lake Ave North | Lalikos J.F.,University of Massachusetts Medical School | Aidlen J.T.,University of Massachusetts Medical School | Ellsworth P.,Nemours Childrens Hospital
Journal of Pediatric Urology | Year: 2016

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. © 2017 Journal of Pediatric Urology Company.

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