van der Horst C, Naumann C M, Martinez-Portillo F J, Jünemann K P
Klinik für Urologie und Kinderurologie, Universitätsklinikum Schleswig-Holstein, Campus Kiel.
Urologe A. 2005 Aug;44(8):898-903. doi: 10.1007/s00120-005-0854-0.
This article reviews the current status of information on external male genital injuries, focusing on the causes as well as diagnostic and therapeutic management of this uncommon entity. Because of the high risk of infection and the major importance of preserving fertility, male genital injuries represent a serious urological disorder that demands immediate urological treatment. The diagnostic procedure classically consists of taking a history and inspecting the wound, which provides enough diagnostic information for the correct choice of conservative or surgical treatment. In most cases open injuries of the genitalia require surgical exploration to determine the extent of possible scrotal, testicular, epididymal, cavernous, or urethral damage, to débride nonviable superficial or deep tissue, to drain existing hematomas, or to control active bleeding. Furthermore, the correct therapeutic approach is crucial for preserving fertility and penile erection. In cases where bilateral ablation is necessary, measures to preserve sperm, e.g., testicular or microsurgical sperm extraction, or squeezing the ductus during orchidectomy must be considered.
本文综述了男性外生殖器损伤的当前信息状况，重点关注这种不常见病症的病因以及诊断和治疗管理。由于感染风险高且保留生育能力至关重要，男性生殖器损伤是一种严重的泌尿系统疾病，需要立即进行泌尿外科治疗。诊断程序通常包括询问病史和检查伤口，这为正确选择保守治疗或手术治疗提供了足够的诊断信息。在大多数情况下，生殖器开放性损伤需要进行手术探查，以确定阴囊、睾丸、附睾、海绵体或尿道可能受损的程度，清除无活力的浅表或深部组织，引流现有的血肿，或控制活动性出血。此外，正确的治疗方法对于保留生育能力和阴茎勃起至关重要。在需要双侧切除的情况下，必须考虑采取保存精子的措施，例如睾丸或显微外科取精，或在睾丸切除术中挤压输精管。
