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      Traumatic right testicular amputation with left testicular repositioning: A case report of a farmer from Nepal

      case-report

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          Abstract

          Male external genitalia injury with testicular loss is relatively uncommon in civilian practice. Testicular amputation is usually found with military trauma and self-mutilation. However, they do occur while operating machines for domestic purposes. The standard protocols for the management of traumatic testicular amputation are lacking. The management is focused on resuscitation of the patient and restoration of testicular function with acceptable cosmesis. Here, we present a case of a 45-year-old man with traumatic right testicular amputation while he was using a thresher for rice cutting.

          Highlights

          • •

            Traumatic testicular amputation is an uncommon entity in civilian practice.

          • •

            The testis can be repositioned in an ectopic location due to the laxity of cord structures.

          • •

            Testicular injury can occur by machinery due to its inexperience use.

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          Most cited references5

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          Scrotal trauma: A case report and review of the literature

          Harkanwal Randhawa, Udi Blankstein, Timothy Davies (2019)
          Article 0 comments Cited 9 times – based on 0 reviews     Review now
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            Clinical characteristics and surgical outcomes of penetrating external genital injuries.

            Marc Bjurlin, Dae Kim, Lee Zhao … (2013)
            Penetrating external genital injuries, although uncommon, may present complex problems for the urologic and trauma surgeon. A paucity of data exists on the incidence, clinical characteristics, and management outcomes of these injuries because few institutions have the volume to report their experience.
            Article 0 comments Cited 9 times – based on 0 reviews     Review now
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              Genital Self Mutilation in Alcohol Withdrawal State Complicated with Delirium

              Sri Charan, C. Reddy (2011)
              Genital self mutilation is a rare and a severe form of self-injurious behavior usually described in psychotic disorders, with delusions and hallucinations. It has been ascribed to sexual conflicts, Body image distortions, Internalized aggression, and suicidal intent. This phenomenon has been described in schizophrenia, affective psychosis, alcohol intoxication, and personality disorders. The present case genital self mutilation in a case of alcohol withdrawal state complicated by delirium is reported.
              Article 0 comments Cited 7 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Awaj Kafle
                Sudhir Kumar Singh
                Rikesh Jung Karkee
                Samir Chaudhary
                Ankur Poudel
                Hardik Kumar Sethi
                Journal
                Journal ID (nlm-ta): Urol Case Rep
                Journal ID (iso-abbrev): Urol Case Rep
                Title: Urology Case Reports
                Publisher: Elsevier
                ISSN (Electronic): 2214-4420
                Publication date PMC-release: 07 January 2022
                Publication date Collection: May 2022
                Publication date (Electronic): 07 January 2022
                Volume: 42
                Electronic Location Identifier: 101993
                Affiliations
                [a ]Division of Urology, B. P. Koirala Institute of Health Sciences, Dharan, Nepal
                [b ]Department of General Surgery, B. P. Koirala Institute of Health Sciences, Dharan, Nepal
                [c ]Department of Anaesthesiology and Critical Care, B. P. Koirala Institute of Health Sciences, Dharan, Nepal
                Author notes
                [∗ ]Corresponding author. F-22-1-1, Ghopa Camp, BPKIHS, Dharan, Nepal. awaj.kafle.ak@ 123456gmail.com
                Article
                Publisher Item ID: S2214-4420(22)00005-5 Publisher ID: 101993
                DOI: 10.1016/j.eucr.2022.101993
                PMC ID: 8760471
                SO-VID: 83aebfbb-0e0c-45d6-906e-8e91aa5e2a25
                Copyright © © 2022 The Authors
                License:

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                Date received : 16 December 2021
                Date revision received : 24 December 2021
                Date accepted : 6 January 2022
                Categories
                Subject: Trauma and Reconstruction

                Keywords: testicular amputation,genital self-mutilation,testicular repositioning,genital trauma,testicular injury,penetrating injury
                Data availability:
                Keywords: testicular amputation, genital self-mutilation, testicular repositioning, genital trauma, testicular injury, penetrating injury

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