In a retrospective analysis, however, Jackson et al5 suggested that none of the urethral injuries require urethral substitution with graft and flaps as the first treatment. Contamination and inadequate circulation result with treatment failures.5 Regarding bladder injuries, the bladder must be closed with 2 layers of absorbable sutures. The most important issue after the repair of bladder rupture is adequate drainage

of the bladder. Thus, usage of a large-scaled urethral Foley catheter in addition to suprapubic cystostomy is recommended. The patient was operated by our department SKI-606 cost due to rectal bleeding and urethral and bladder injury. The urethra and the bladder were primarily repaired, a cystostomy was placed, and a long-term Foley drainage of the bladder was planned. The remnants of the prostate were debrided and also repaired before the reconstruction of the urethra, which is not reported previously. Multisystem traumas of the urethra, bladder, and rectum are seldom reported. Several forms of self-mutilation are known in schizophrenic patients; however, firing an explosive inside the body is an extreme condition. Explosive traumas should be managed carefully as the effects of thermal injury GSK-3 inhibition might be more severe than they seem. Even in those cases, reconstruction of the posterior urethra and bladder neck might be a reasonable option with appropriate surgical

techniques. “
“Traumatic dislocation of the testis (TDT) is an uncommon sequel of scrotal second trauma, occurring after direct pressure on

the scrotum and dislocating the testis outside its normal position to the surrounding tissue, usually the inguinal region.1 and 2 TDT may be a singular event1 or associated with blunt abdominopelvic trauma.3 Although TDT occurs more often at the time of injury,2 in a few cases, a TDT has been recognized as a later event.4 Ultrasound (U/S), color-flow Doppler U/S, and computed tomography (CT) are the main diagnostic tools of this condition.4 Early diagnosis and treatment are recommended to preserve testicular function and to avoid the risk of malignant transformation.1 In this study, we report on a case of TDT in an adult, with a brief review of this rare condition. A 27-year-old man was admitted to our Department 3 days after an injury from falling astride on a crossbar. The patient subsequently noted that the left testis was moved to the left inguinal region. There was not a history of undescendent or retractile testis in the past. On physical examination, his perineum and penoscrotum region had small abrasions, whereas the left scrotum was empty without hematoma. The testis was palpable in the left inguinal region (Fig. 1). The rectal tone was normal. A urine sample showed no blood. A color Doppler U/S revealed that the left testis was located in the inguinal canal, with normal size, and adequate blood supply of the testis (Fig. 2).