ArticleResearch and reports in urology2026
Salvage of a Penetrating Bilateral Testicular Gunshot Injury Using an Autologous Free Tunica Albuginea Graft from the Excised Contralateral Testis: A Case Report.
Article in Research and reports in urology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Penetrating scrotal trauma is an uncommon but potentially devastating urogenital injury. Testicular rupture requires prompt exploration, particularly when associated with urethral or corporal trauma. When primary closure of the tunica albuginea is not feasible, reconstructive alternatives may be needed to preserve viable testicular tissue. Case Presentation: We report an 18-year-old male who sustained a ricocheting gunshot injury to the perineum and external genitalia. After initial cystostomy and wound packing at a non-specialized hospital, he was referred to our center approximately 12 hours after injury. Exploration revealed complete destruction of the right testis, severe rupture of the left testis with extrusion of seminiferous tubules and a large tunica albuginea defect, a partial distal bulbar urethral laceration, and a 1-cm laceration of the left corpus cavernosum. The right testis was unsalvageable and excised. The urethral and corporal injuries were repaired primarily. Because the left testis could not be closed primarily and the tunica vaginalis was inadequate, an autologous free graft harvested from the tunica albuginea of the excised right testis was used to close the defect. Discussion: Previously described options for large tunica albuginea defects include tunica vaginalis-based techniques and biologic or synthetic grafts. Our approach used contralateral tunica albuginea as an immediately available autologous graft. Conclusion: At 3-month follow-up, the patient had preserved testicular vascularity and volume, normal voiding and erections, and reference-range testosterone. However, persistent severe oligozoospermia and elevated gonadotropins indicated impaired spermatogenesis, prompting fertility counseling and repeat sperm cryopreservation. This technique may represent a feasible testis-sparing option in carefully selected cases.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.