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Medical Education Division |
Operational Medicine 2001
Emergency War Surgery
Second United States Revision of The Emergency War Surgery NATO
Handbook
United States Department of Defense
Emergency War Surgery
Second United States Revision of The Emergency War Surgery NATO Handbook
United States Department of Defense
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Emergency War Surgery NATO Handbook: Part IV: Regional Wounds and Injuries: Chapter XXXI: Wounds and Injuries of the Genitourinary Tract Wounds of the External GenitaliaUnited States Department of Defense The management of wounds of the penis, scrotum, testes, and spermatic cord consists of control of hemorrhage, debridement (which should always be as conservative as possible), and repair, as early as possible, to prevent deformity. In injuries of the penis, tears of Buck's fascia should be sutured. When denudation has been extensive, the penis may be placed in a scrotal tunnel until plastic repair can be carried out in an appropriately equipped facility. The scrotum has a good blood supply, and extensive debridement is therefore not necessary. In complete avulsion, the testes can be placed in protective pockets in the thighs. It is essential, when dealing with testicular wounds, to conserve as much tissue as possible. Herniated parenchymal tissues should be replaced and the tunica albuginea closed by mattress sutures. The testicle is placed in the scrotum or in a protective pocket in some adjacent structure. A testicle should never be resected unless it is hopelessly damaged and its blood supply destroyed.
Approved for public release; Distribution is unlimited. The listing of any non-Federal product in this CD is not an endorsement of the product itself, but simply an acknowledgement of the source. Operational Medicine 2001 Health Care in Military Settings
This web version is provided by The Brookside Associates Medical Education Division. It contains original contents from the official US Navy NAVMED P-5139, but has been reformatted for web access and includes advertising and links that were not present in the original version. This web version has not been approved by the Department of the Navy or the Department of Defense. The presence of any advertising on these pages does not constitute an endorsement of that product or service by either the US Department of Defense or the Brookside Associates. The Brookside Associates is a private organization, not affiliated with the United States Department of Defense. |