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Therapiemanagement des stumpfen Hodentraumas

Therapeutic management of blunt testicular trauma

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Zusammenfassung

Hodentraumata sind seltene Notfälle, während offene Hodentraumata immer chirurgisch therapiert werden, besteht bei stumpfen Verletzungen prinzipiell die Möglichkeit eines konservativen Vorgehens. Da sich im Falle einer testikulären Ruptur jedoch signifikante Unterschiede hinsichtlich der Folgekomplikationen sowie den sekundären Operationsraten zeigen, ist eine genaue Diagnostik vor Therapiefestlegung wichtig. Bei vermuteter oder nachgewiesener testikulärer Ruptur sollte die frühzeitige chirurgische Exploration mit dem Ziel des maximalen Erhalts von vitalem Hodengewebe angestrebt werden.

Abstract

Testicular trauma is a rare emergency. While penetrating injuries need surgical revision, blunt injuries may be treated conservatively. However, in case of testicular rupture early surgical intervention increases the chance of testicular preservation. Therefore, a meticulous urological diagnosis is important to avoid complications and to reduce rates of secondary orchiectomy.

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Correspondence to G. N. Thalmann.

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B. Lyttwin, F. Moltzahn und G.N. Thalmann geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Lyttwin, B., Moltzahn, F. & Thalmann, G.N. Therapiemanagement des stumpfen Hodentraumas. Urologe 56, 864–867 (2017). https://doi.org/10.1007/s00120-017-0383-7

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  • DOI: https://doi.org/10.1007/s00120-017-0383-7

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