Testicular trauma: Difference between revisions

Revision as of 20:30, 4 June 2020

Background

Scrotal anatomy

Testicular anatomy

1. Epididymis 2. Head of epididymis 3. Lobules of epididymis 4. Body of epididymis 5. Tail of epididymis 6. Duct of epididymis 7. Deferent duct (ductus deferens or vas deferens)

Clinical Features

Blunt trauma due to impingement against symphysis pubis
- Will have contusion or rupture based on whether tunica albuginea is disrupted
- Large, blue, tender scrotal mass (hematocele)
Testicular dislocation
- Absent testicle

Differential Diagnosis

Genitourinary Trauma

Urinary system
Genital
Other
- Child abuse
- Pelvic fracture (often accompanies)
- Sexual assault

Testicular Diagnoses

Evaluation

Scrotal ultrasound required for all blunt testicular injuries
- Reliable in diagnosing ruptured testes^[1]

Management

Most testicular injuries are managed conservatively
- Analgesia, ice, elevation, scrotal support, urology follow up
Consult Urology for urgent operative care
- Testicular rupture
- Testicular dislocation (absence)

Disposition

See above. Depends on underlying diagnosis identified.

References

↑ Buckley JC, McAninch JW. Use of ultrasonography for the diagnosis of testicular injuries in blunt scrotal trauma. J Urol 2006;175:175-8.

Authors:

[1] Buckley JC, McAninch JW. Use of ultrasonography for the diagnosis of testicular injuries in blunt scrotal trauma. J Urol 2006;175:175-8.

[1]

@@ Line 1: / Line 1: @@
 ==Background==
 [[File:Gray1144.png|thumb|Scrotal anatomy]]
+[[File:Figure 28 01 02.jpg|thumb|Scrotal anatomy]]
 [[File:Figure 28 01 03.jpg|thumb|Testicular anatomy]]
+[[File:Illu testis surface.jpg|thumb|1. Epididymis 2. Head of epididymis 3. Lobules of epididymis 4. Body of epididymis 5. Tail of epididymis 6. Duct of epididymis 7. Deferent duct (ductus deferens or vas deferens)]]
 ==Clinical Features==