Rare Case of Managing and Evaluating Viability after Replantation of a Serial Self-Amputated Bilateral Testis by a Patient with Schizophrenia: A Case Reportopen access
- Authors
- Ahn, Il Young; Ha, Moon Soo; Kim, Woo Ju; Bae, Tae Hui; Kim, Sun Mi; Choi, Se Young; Kang, Shin hyuk
- Issue Date
- Sep-2023
- Publisher
- KARGER
- Keywords
- Testicular scan; Amputation; Replantation; Indocyanine green; Microscopic surgery; Case report
- Citation
- UROLOGIA INTERNATIONALIS, v.107, no.8, pp 827 - 834
- Pages
- 8
- Journal Title
- UROLOGIA INTERNATIONALIS
- Volume
- 107
- Number
- 8
- Start Page
- 827
- End Page
- 834
- URI
- https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/69988
- DOI
- 10.1159/000531149
- ISSN
- 0042-1138
1423-0399
- Abstract
- Amputation of the testis is very rare in clinical situations; therefore, most surgeons have no experience with an amputated testis. In this case, a 31-year-old male with schizophrenia amputated both testes due to self-mutilation. We performed replantation surgery via microscopy. On postoperative day 1, he removed his right testis by using his hand, even though his hands were restrained. The second attack disrupted the viability of the right testis. However, after proper management, we checked the normal sex hormone level by preserving the replanted left testis. We evaluated the viability of the replanted testis by performing five examinations, namely, intraoperative indocyanine green injection, testicular scan with technetium pertechnetate, contrast-enhanced computerized tomography, Doppler ultrasonography, and serum testosterone level. In this report, we aimed to describe our rare experience about management with replantation of the amputated testes and evaluation of their viability.
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