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Managing endocrine dysfunction following blast injury to the male external genitalia

Lookup NU author(s): Dr David Woods, Dr Richard Quinton

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Abstract

Blast injury to the external genitalia is associated with considerable morbidity, including the risk of primary hypogonadism due to insufficient testosterone. It is of the utmost importance that, prior to any testosterone replacement being commenced, serious consideration is given to sperm retrieval. The clinical and biochemical picture of hypogonadism allows a relatively straightforward diagnosis in most cases although it is important to be alert to the possibility of hypogonadism in the context of partial testicular tissue preservation. It is also prudent to consider the possibility of secondary hypogonadism especially in patients with chronic pain or those on opiate medication. Therapeutic options for testosterone replacement are diverse but relatively simple. This article aims to give guidance to the non-specialist in the consideration, diagnosis, and treatment of hypogonadism, with particular reference to blast injury of the external genitalia.

Publication metadata

Author(s): Woods DR, Phillip R, Quinton R

Publication type: Article

Publication status: Published

Journal: Journal of the Royal Army Medical Corps

Year: 2013

Volume: 159

Issue: suppl.1

Pages: i45-i48

Print publication date: 01/03/2013

ISSN (print): 0035-8665

ISSN (electronic): 2052-0468

Publisher: BMJ Group

URL: http://dx.doi.org/10.1136/jramc-2013-000022

DOI: 10.1136/jramc-2013-000022

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