<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2007-4085</journal-id>
<journal-title><![CDATA[Revista mexicana de urología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. mex. urol.]]></abbrev-journal-title>
<issn>2007-4085</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Mexicana de Urología]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2007-40852021000200008</article-id>
<article-id pub-id-type="doi">10.48193/revistamexicanadeurologa.v81i2.423</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Reconstrucción testicular con toma y aplicación de injerto autólogo de túnica albugínea contralateral por trauma penetrante de testículo por proyectil de arma de fuego. Reporte de caso y revisión de la literatura]]></article-title>
<article-title xml:lang="en"><![CDATA[Testicular reconstruction with taking and application of autologous tunica albuginea graft of contralateral testicle due to penetrating trauma to the testicle by firearm projectile. Case report and review of the literatura]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ávalos-Jiménez]]></surname>
<given-names><![CDATA[Julio César]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Ángeles Mocel  ]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2021</year>
</pub-date>
<volume>81</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2007-40852021000200008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2007-40852021000200008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2007-40852021000200008&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Antecedentes: El trauma testicular y escrotal ocurre principalmente en jóvenes entre 15 y 40 años. El 50% de las heridas testiculares por arma de fuego terminan en orquiectomía. La presentación clínica es con dolor, edema, equimosis y hematoma; laceración de piel o exposición de tejido. El diagnóstico es clínico. La evidencia o sospecha de una ruptura testicular es una urgencia y requiere exploración quirúrgica inmediata. El manejo quirúrgico recomendado es con cierre primario de la túnica albugínea cuando es posible y orquiectomía cuando no es posible.  Caso clínico: Presentamos el caso de un masculino de 20 años con trauma testicular por arma de fuego; condicionándole trauma izquierdo grado V y derecho grado IV. Se realizó orquiectomía simple izquierda y orquiectomía parcial derecha con reconstrucción testicular por medio de injerto de túnica albugínea contralateral. El paciente cursó con una evolución satisfactoria; al estudio ultrasonográfico Doppler de control se observó vascularidad conservada y hormonalmente niveles de testosterona en aumento.  Discusión: La meta en el tratamiento del trauma testicular es preservar el tejido viable y reparar el testículo. El cierre primario está descrito ante una laceración de la túnica albugínea con bordes fácilmente identificables, lo cual no fue posible en este caso. Dentro de las reparaciones descritas existen injertos de túnica vaginalis, mallas de material reabsorbible y biológicas con resultados no concluyentes. El uso de túnica albugínea como reparación y protección del testículo contralateral, permitió una reconstrucción óptima; evitando el aumento de presión que se produce al usar la túnica ipsilateral y permitiendo la preservación del parénquima y fisiología testicular.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background: Testicular and scrotal trauma occurs mainly in young people between 15 and 40 years old. 50% of gunshot wounds end in orchiectomy. The clinical presentation is with pain, edema, ecchymosis and hematoma, skin laceration or tissue exposure. The diagnosis is clinical. Evidence or suspicion of a testicular rupture is an emergency and requires urgent surgical exploration. The recommended surgical management is with primary closure of the tunica albuginea when possible and orchiectomy when it is not possible.  Clinical case: We present the case of a 20-year-old man with gunshot testicular trauma, conditioning left trauma grade V and grade IV right. Simple left orchiectomy and right partial orchiectomy were performed with contralateral tunica albuginea graft. The patient had a satisfactory evolution with control Doppler ultrasound with preserved vascularity and increasing testosterone levels.  Discussion:  The goal in the treatment of testicular trauma is to preserve viable tissue and repair the testicle. The primary closure is described for a laceration of the tunica albuginea with easily identifiable edges, which was not possible in this case. Within the repairs described there are grafts of tunica vaginalis, absorbable material and biological meshes with contradictory results. The use of tunica albuginea as repair and protection of the contralateral testicle, allowed an optimal reconstruction, avoiding the pressure increase that occurs when using the ipsilateral tunic and allowing the preservation of the parenchyma and testicular physiology.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Testicular trauma]]></kwd>
<kwd lng="en"><![CDATA[gunshot trauma]]></kwd>
<kwd lng="en"><![CDATA[testicular reconstruction]]></kwd>
<kwd lng="es"><![CDATA[Trauma testicular]]></kwd>
<kwd lng="es"><![CDATA[Trauma por arma de fuego]]></kwd>
<kwd lng="es"><![CDATA[Reconstrucción testicular]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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