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Scrotal and Genital Emergencies

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Urological Emergencies In Clinical Practice
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Abstract

During fetal development, the testis descends into the inguinal canal and as it does so it pushes in front of it a covering of peritoneum (Fig. 6.1). This covering of peritoneum, which actually forms a tube, is called the processus vaginalis. The testis lies behind this tube of peritoneum, and by birth, or shortly afterward, the lumen of the tube becomes obliterated. In the scrotum, the tube of peritoneum is called the tunica vaginalis. The testis essentially is pushed into the tunica vaginalis from behind. The tunica vaginalis, therefore, is actually two layers of peritoneum, which cover the testis everywhere apart from its most posterior surface (Fig. 6.2). The layer of peritoneum that is in direct contact with the testis is called the visceral layer of the tunica vaginalis, and the layer that surrounds this and actually covers the inner surface of the scrotum is called the parietal layer of the tunica vaginalis.

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References

  • Al Mufti RA, Ogedegbe AK, Lafferty K. The use of Doppler ultrasound in the clinical management of acute testicular pain. Br J Urol. 1995;76:625–7.

    Article  PubMed  CAS  Google Scholar 

  • Anderson JB, Williamson RCN. The fate of the human testis following unilateral torsion of the spermatic cord. Br J Urol. 1986;58:698–704.

    Article  PubMed  CAS  Google Scholar 

  • Anderson JB, Williamson RCN. Testicular torsion in Bristol: a 25 year review. Br J Surg. 1988;75:988–92.

    Article  PubMed  CAS  Google Scholar 

  • Bazi T. Spontaneous closure of vesicovaginal fistulas after bladder drainage alone: review of the evidence. Int Urogynecol J Pelvic Floor Dysfunct. 2007;18:329–33.

    Article  PubMed  Google Scholar 

  • Carson CC, Robertson CN. Late hematogenous infection of penile prostheses. J Urol. 1988;139:50–2.

    PubMed  CAS  Google Scholar 

  • Cerasaro TG, Nachtscheim DA, Otero F, Parsons L. The effect of testicular torsion on contralateral testis and the production of antisperm antibodies in rabbits. J Urol. 1984;135:577–9.

    Google Scholar 

  • Coughlin HT, Bellinger MF, La Porte RE, Lee PA. Testicular suture: a significant risk factor for infertility among formerly cryptorchid men. J Pediatr Surg. 1998;33:1790–3.

    Article  PubMed  CAS  Google Scholar 

  • De Vries CR, Miller AK, Packer MG. Reduction of paraphimosis with hyaluronidase. Urology. 1996;48:464–5.

    Article  Google Scholar 

  • Frank JD, O’Brien M. Related articles, fixation of the testis. Br J Urol Int. 2002;89:331–3.

    Article  CAS  Google Scholar 

  • Hinman Jr F. Atlas of urologic surgery. Philadelphia: WB Saunders; 1998.

    Google Scholar 

  • Houghton GR. The ‘iced-glove’ method of treatment of paraphimosis. Br J Surg. 1973;60:876–7.

    Article  PubMed  CAS  Google Scholar 

  • Johnin K, Kushima M, Koizumi S, et al. Percutaneous transvesical retrieval of foreign bodies penetrating the urethra. J Urol. 1999;161:915–6.

    Article  PubMed  CAS  Google Scholar 

  • Kabalin JN, Kessler R. Infectious complications of penile prosthesis surgery. J Urol. 1988;139:953–5.

    PubMed  CAS  Google Scholar 

  • Kalfa N, Veyrac C, Baud C, Couture A, Averous M, Galifer RB. Ultrasonography of the spermatic cord in children with testicular torsion: impact on the surgical strategy. J Urol. 2004;172:1692–5.

    Article  PubMed  CAS  Google Scholar 

  • Keoghane SR, Sullivan ME, Miller MA. The aetiology, pathogenesis and management of priapism. Br J Urol Int. 2002;90:149–54.

    Article  CAS  Google Scholar 

  • Kerwat R, Shandall A, Stephenson B. Reduction of paraphimosis with granulated sugar. Br J Urol. 1998;82:755.

    Article  PubMed  CAS  Google Scholar 

  • Kuntze JR, Lowe P, Ahlering TE. Testicular torsion after orchidopexy. J Urol. 1985;134:1209–10.

    PubMed  CAS  Google Scholar 

  • Licht MR, Montague DK, Angermeier KW, Lakin MM. Cultures from genitourinary prostheses at reoperation: questioning the role of Staphylococcus epidermidis in periprosthetic infection. J Urol. 1995;154:387–90.

    Article  PubMed  CAS  Google Scholar 

  • Melloul M, Paz A, Lask D, et al. The value of radionuclide scrotal imaging in the diagnosis of acute testicular torsion. Br J Urol. 1995;76:628–31.

    Article  PubMed  CAS  Google Scholar 

  • Montague DK, Jarow J, Broderick GA, et al. American Urological Association guideline on the management of priapism. J Urol. 2003;170:1318–24.

    Article  PubMed  Google Scholar 

  • Nelson CP, Williams JF, Bloom DA. The cremasteric reflex: a useful but imperfect sign in testicular torsion. J Pediatr Surg. 2003;38:1248–9.

    Article  PubMed  Google Scholar 

  • Osca JM, Broseta E, Server G, et al. Unusual foreign bodies in the urethra and bladder. Br J Urol. 1991;68:510–2.

    Article  PubMed  CAS  Google Scholar 

  • Phipps JH. Torsion of testis following orchidopexy. Br J Urol. 1987;59:596.

    Article  PubMed  CAS  Google Scholar 

  • Reynard JM, Barua JM. Reduction of paraphimosis the simple way – the Dundee technique. Br J Urol Int. 1999;83:859–60.

    Article  CAS  Google Scholar 

  • Rolnick D, Kawanoue S, Szanto P, et al. Anatomical incidence of testicular appendages. J Urol. 1968;100:755.

    PubMed  CAS  Google Scholar 

  • Thurston A, Whitaker R. Torsion of testis after previous testicular surgery. Br J Surg. 1983;70:217.

    Article  PubMed  CAS  Google Scholar 

  • van Ophoven A, de Kernion JB. Clinical management of foreign bodies of the genitourinary tract. J Urol. 2000;164:274–87.

    Article  PubMed  Google Scholar 

  • Wallace DMA, Gunter PA, London GV, et al. Sympathetic orchidopathia, an experimental and clinical study. Br J Urol. 1982;54:765–8.

    Article  PubMed  CAS  Google Scholar 

  • Watkin NA, Reiger NA, Moisey CU. Conservative management of the acute scrotum. Br J Urol. 1996;78:623–7.

    Article  PubMed  CAS  Google Scholar 

Further Reading

  • Montague DK, Angermeier KW. Artificial urinary sphincter troubleshooting. Urology. 2001;58:779–82.

    Article  PubMed  CAS  Google Scholar 

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Correspondence to John Reynard DM, FRCS (Urol) .

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Reynard, J. (2013). Scrotal and Genital Emergencies. In: Hashim, H., Reynard, J., Cowan, N., Wood, D., Armenakas, N. (eds) Urological Emergencies In Clinical Practice. Springer, London. https://doi.org/10.1007/978-1-4471-2720-8_6

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  • DOI: https://doi.org/10.1007/978-1-4471-2720-8_6

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