Castration Traumatic

Traumatic castration: injuries, complications, rehabilitation

What is castration

**Castration** is a surgical intervention to remove organs - testicles (testicles). In men, it involves the removal of the testicles and vas deferens; in boys, only the gonads are castrated.

How is traumatic castration performed?

Two main methods are used: * Castration, performed by a doctor immediately after a fall or during the pre-hospital phase. In this case, a typical laparotomy is performed: dissection of the anterior abdominal wall, exposure of the genitals, careful removal of the right testicle or its remains and sutures for the defect in the scrotum, then a second incision is made near the navel to expose the left testicle and remove it. In boys, the tissue of the spermatic cord of the left testicle is also trimmed. This is done in order to control the growth of the organ in the future. The wounds are then sutured. The total duration of the operation is approximately 75 minutes. The next type of traumatic castration is open: it is performed either immediately in the operating room and takes about 45-90 minutes, or it is done pre-hospital, in the hospital it lasts from 6 to 9 hours. Complications If open castration is not done on time, impotence or coagulation (compact layering of tissue due to later phases of blood healing) with the formation of a scrotal cyst is possible. In addition, dropsy may form, followed by hypospadias, phimosis, inguinal hernia and other pathologies. Also, with delayed castration, dislocations or fractures occur. Traumatic castration can lead to the following complications: hypoacceleration of puberty in boys, changes in the endocrine system, and the addition of a secondary infection. Then secondary lesions are possible, which can lead in the postoperative period to aseptic peritonitis (the appearance of pathogenic microflora and its inflammation), dysbacteriosis, abscesses and