生殖器自我创伤：文献综述与管理方案
Self-Induced Trauma to the Genitalia: a Review of the Literature and Management Schemes.
作者信息
Koller Christopher R, Wang Shuhong, Sandoval Victor, Yousif Ayad, Hsieh Tung-Chin, Raheem Omer A
机构信息
Department of Urology, Tulane University School of Medicine, 1430 Tulane Ave. 8642 Room 3514, New Orleans, LA, 70112, USA.
Department of Andrology, Chongqing University Three Gorges Hospital, Chongqing, China.
出版信息
Curr Urol Rep. 2021 Feb 3;22(3):18. doi: 10.1007/s11934-021-01034-0.
PURPOSE OF REVIEW
Self-induced genital trauma is rare, and prompt and evidence-based early intervention can improve the urinary and sexual function of these complex patients. This review has surveyed current literature and treatment trends to evaluate the clinical approach to managing genital trauma.
RECENT FINDINGS
A literature review was performed regarding self-induced genitalia trauma and trauma management between 2000 and 2019 using MEDLINE® database, the Cochrane Library® Central Search, Web of Science, and Google Scholar. In total, 42 articles were considered relevant and included in this review. Self-induced trauma can be appropriately managed with a multidisciplinary approach. Treatment goals are to preserve urinary, sexual, and reproductive function. Specific evaluation includes mechanism of injury, imaging, and determining the extent of injury and surgical repair, if indicated. Due to the rarity of these injuries and their emergent nature, much of the management is based on retrospective data. Further research is needed to improve long-term functional outcomes in trauma patients.
综述目的
自我诱导的生殖器创伤较为罕见，及时且基于证据的早期干预可改善这些复杂患者的泌尿和性功能。本综述检索了当前文献及治疗趋势，以评估生殖器创伤的临床处理方法。
最新发现
使用MEDLINE®数据库、Cochrane图书馆®中央检索库、科学网和谷歌学术对2000年至2019年间自我诱导的生殖器创伤及创伤处理进行了文献综述。总共42篇文章被认为相关并纳入本综述。自我诱导的创伤可通过多学科方法进行适当处理。治疗目标是保留泌尿、性和生殖功能。具体评估包括损伤机制、影像学检查以及确定损伤程度和是否需要手术修复（如需要）。由于这些损伤的罕见性及其紧急性质，大部分处理基于回顾性数据。需要进一步研究以改善创伤患者的长期功能结局。
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