ABSTRACT
Resumen:La colección anormal de líquido seroso entre las capas visceral y parietal de la túnica vagina del testículo se llama hidrocele. Es considerada la causa más común de inflamación escrotal no dolorosa. El fluido peritoneal pasa al espacio escrotal a través de una comunicación que queda con el proceso vaginal, esto en el caso de los que son de origen congénito ya que desde el nacimiento el conducto peritoneovaginal no se oblitera adecuadamente.Los hidroceles adquiridos normalmente son de origen idiopático, pero también se puede dar en infecciones, varicocectomía, cirugía inguinal y trauma. En el presente artículo se expondrá la revisión de un caso de hidrocele de origen traumático.
Abstract:The abnormal collection of serous fluid between the visceral and parietal layers of the vaginal tunic of the testicle is called a hydrocele. It is considered the most common cause of painless scrotal swelling. The peritoneal fluid passes the scrotal space through a communication that keeps the vaginal process, that in the case of those who are congenital because from birth through the peritoneovaginal not properly obliterated. Hydroceles acquired are usually idiopathic, but can also result in infections, varicocectomía, inguinal surgery and trauma. In this article a review of a case of traumatic hydrocele isexposed.
Subject(s)
Humans , Male , Adult , Costa Rica , Testicular Hydrocele/diagnosis , Accidents, OccupationalABSTRACT
El traumatismo testicular contuso es una lesión poco frecuente que se presenta sobre todo en hombres jóvenes, que ocurre debido al impacto violento de los testículos contra el arco púbico. Tales traumas contusos pueden ocasionar diferentes lesiones a nivel del tejido testicular y de las estructuras anexas que se asocian a esterilidad masculina a través de trastornos de la espermatogénesis, mecanismos autoinmunes o por lesión de los conductos postesticulares. Se estudiaron dos casos de trauma testicular contuso en los cuales se diagnosticó esterilidad como parte del estado secuelar.
The blunt testicular trauma is an uncommon lesion that occurs mainly in young men, which occurs due to the violent impact of the testes against the pubic arch. Such blunt trauma injury may cause different levels of testicular tissue and adnexal structures that are associated with male sterility through spermatogenesis disorders, autoimmune mechanisms or by injury the postesticulares ducts. Two cases of blunt testicular trauma in which infertility was diagnosed were evaluated as part of sequelar been studied.
Subject(s)
Humans , Male , Adult , Infertility, Male , TestisABSTRACT
Objective:To summarize the clinical experience of diagnosis and treatment of testicular trauma. Methods:The diagnosis and treatment of 21 patients with testicular trauma were reviewed retrospectively. Results:By using the B-Ultrasoundgraphy,It is simple to diagnose the testicular trauma. All patients with testicular trauma were treated by the conservative treatment or operation. The orchiatrophy is the common complication of testicular trauma. Conclusions: It have important value to use the B-Ultrasoundgraphy early for diagnosing and treating the testicular trauma. It can prevent the occurrence of orchiatrophy and increase the therapeutic efficacy of testicular trauma to choose the correct therapeutic approach. It should support to perform the operative exploration as early as possible.
ABSTRACT
The ultrasonographic features in 26 cases of blunt testicular trauma were reviewed. Ultrasonography diagnosed correctly in 11 surgically proven cases of testicular rupture. There were three false-positive cases, two with a large scrotal hematocele and one with epididymis rupture. there were no false-negative cases. The sensitivity and specificity of ultrasonographic diagnosis were 100% and 80% respectively. The positive and negative predictive values were 78. 6% and 100% respectively. Therefore, the negative diagnosis by ultrasonography can warrant conservative therapy.