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Časopis Clinical urology – Článok External genital injuries

Clinical urology

Postgraduate scientific medical journal. Magazine Slovak Association of Urology.
Period 3x per year
1336-7579
The journal is indexed in the Slovak National Bibliography, Bibliographiia Medica Slovaca (BMS) and listed to citation database CiBaMed. All articles are reviewed. The publisher does not bear any responsibility for data and opinions of particular authors of the articles or advertisements. The articles on grey pages are company promotions or non reviewed information, an author is responsible for the content. Any reproduction of the content is allowed only with direct consent of the editorial office.
Predplatné
Clinical urology
Clinical urology
Postgraduate scientific medical journal. Magazine Slovak Association of Urology.
Period 3x per year
Predplatné
Téma: 

External genital injuries

Jozef Marenčák, Rudolf Moro, Dymitry Lapatko, Michaela Trabalíková

Objective: Retrospective evaluation of diagnosis and treatment of external genital injuries.
Material and methods: Between 1 Jan 1985 to 31 Dec 2014 on the Urology department FNsP Skalica a total of 42 patients
(39 men and 3 women, average age 27.5 /range 8 – 64 years) were treated for external genital injury. Injury of
the penis were noted in 17/ 39 (44 %), scrotum injury in 19/ 39 (49 %) and mixed trauma of the penis + scrotum in 3/ 39
(7 %) of males. Blunt trauma was recorded in 29/ 42 (69 %) – two of these 29 (7 %) were burns. Penetrating injury was
noted in 13/ 42 (31 %) of patients – in this group was recorded self – inflicted mechanism of injury in 6/ 13 (46 %) of men.
Diagnostic procedures utilized by patients with genital trauma: history, physical and laboratory examinations, some
imaging tests, gynaecological and endoscopic investigation and other.
Results: Scrotal ultrasonography (USG) confirmed the rupture of the testis in 7/ 8 (87.5 %) of patients with testicular
damage confirmed in a surgical revision. Surgical methods of treatment were used in 80 % of patients with injury of
the penis and in 77.3 % of men with trauma of the scrotum. Satisfactory erection was noted in 4/5 (80 %) of patients
12 month after surgery for penis fracture and weaker erection was observed in one patient after conservative therapy
of this accident. The average time from injury to the start of the treatment was: 38.5 (range 0.5 – 112) hours in patients
with injury of the penis and 8.5 (0.5 – 56.0) hours in men with scrotal trauma.
Conclusions: Trauma of the external genitalia does not occur often, tends to have a varied clinical picture depending on
the mechanism of injury. Most genital injuries (in males and females) were caused by blunt trauma. Diagnosis of external
genital injuries was always adjusted to an individual patient. Precise scrotum USG proved to be sufficiently accurate
in determining the rupture of the testis. The timing of solutions for genital injuries was determined mainly by: the risk
of infection (according to the aetiology of trauma), the possibility of erectile function loss and fertility in males or risk
of more massive bleeding in women. Early surgical management, with closure of tunica albuginea was long cosmetically
and functionally effective in patients with penile fracture. Early surgical exploration was also effective in all cases
(even if only suspected) of testicular rupture.

external genital injuries, diagnosis, treatment
Klin. urol. 2015; 11 (1): 28-34

Ročník 2015  Témy časopisu Clinical urology 1 / 2015

Jana Katolická
Terézia Jankovichová, Martin Jankovich

Jaroslav Ženíšek
Ján Švihra, Martin Benčo, Róbert Dušenka, Ján Ľupták, Ján Kliment
Martin Jankovich, Terézia Jankovichová

Jozef Marenčák, Rudolf Moro, Dymitry Lapatko, Michaela Trabalíková

Juraj Fillo, Michaela Levčíková, Ján Luha, Ján Breza, Anna Vachulová, Štefan Durdík, Peter Labaš, Martina Ondrušová
Jozef Marenčák
Silvester Galo, Pavol Žúbor, Soňa Kulichová, Dana Rybárová
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CHAIRMAN OF THE EDITORIAL BOARD
prof. MUDr. Ján Kliment, CSc.

MEMBERS OF THE EDITORIAL BOARD
prof. Andrzej Borówka, M.D., PhD.
prof. MUDr. Ján Breza, DrSc.
prof. MUDr. Peter Bujdák, PhD.
prof. MUDr. Tomáš Hanuš, DrSc.
doc. MUDr. Ladislav Jarolím, CSc.
doc. MUDr. Ján Ľupták, PhD.
doc. MUDr. Jozef Marenčák, PhD.
doc. MUDr. Ivan Minčík, PhD.
prof. MUDr. Dalibor Ondruš, DrSc.
prof. Imre Romics, M.D., PhD.
doc. MUDr. Vladimír Študent, PhD.
prof. MUDr. Ján Švihra, PhD.
prof. MUDr. Ladislav Valanský, PhD.
doc. MUDr. František Záťura, PhD.
MUDr. Peter Zvara, PhD.

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3. LIPID Study Group. Prevention of cardiovascular events and death with pravastatin in patients with coronary heart disease and a broad range of initial cholesterol levels. N Engl J Med 1998; 339: 1349-1357.
4. Jurkovičová O, Spitzerová H, Cagáň S. Komorové arytmie a náhla srdcová smrť pri akútnom infarkte myokardu. Bratisl Lek Listy 1997; 98: 379-389.
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Which of following factors is not related to rosacea?
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c. propionibacterium acnes
d. endothelial growth factor

The editorial board reserves the right to make small stylistic changes in the paper. If it is necessary to shorten the paper, the consent of the author will be required. All articles are reviewed.

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Period 3x per year
1336-7579
The journal is indexed in the Slovak National Bibliography, Bibliographiia Medica Slovaca (BMS) and listed to citation database CiBaMed. All articles are reviewed. The publisher does not bear any responsibility for data and opinions of particular authors of the articles or advertisements. The articles on grey pages are company promotions or non reviewed information, an author is responsible for the content. Any reproduction of the content is allowed only with direct consent of the editorial office.
Predplatné
Clinical urology
Clinical urology
Postgraduate scientific medical journal. Magazine Slovak Association of Urology.
Period 3x per year
Predplatné