Testicular trauma: Difference between revisions
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== | ==Background== | ||
==Clinical Features== | |||
*Blunt trauma due to impingement against symphysis pubis | *Blunt trauma due to impingement against symphysis pubis | ||
**Will have contusion or rupture based on whether tunica albuginea is disrupted | **Will have contusion or rupture based on whether tunica albuginea is disrupted | ||
**Large, blue, tender scrotal mass (hematocele), | **Large, blue, tender scrotal mass (hematocele), | ||
== | ==Diagnosis== | ||
*Scrotal ultrasound required for all blunt testicular injuries | *[[Scrotal ultrasound]] required for all blunt testicular injuries | ||
**Reliable in diagnosing ruptured testes | **Reliable in diagnosing ruptured testes | ||
== | ==Differential Diagnosis== | ||
{{Testicular DDX}} | |||
==Management== | |||
*Most testicular injuries are managed conservatively | *Most testicular injuries are managed conservatively | ||
**Analgesia, ice, elevation, scrotal support, urology f/u | **Analgesia, ice, elevation, scrotal support, urology f/u | ||
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==See Also== | ==See Also== | ||
*[[GU Trauma]] | *[[GU Trauma]] | ||
*[[Testicular | *[[Testicular diagnoses]] | ||
[[Category:GU]] | [[Category:GU]] | ||
[[Category:Trauma]] | [[Category:Trauma]] | ||
Revision as of 06:09, 2 January 2015
Background
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),
Diagnosis
- Scrotal ultrasound required for all blunt testicular injuries
- Reliable in diagnosing ruptured testes
Differential Diagnosis
Testicular Diagnoses
- Scrotal cellulitis
- Epididymitis
- Fournier gangrene
- Hematocele
- Hydrocele
- Indirect inguinal hernia
- Inguinal lymph node (Lymphadenitis)
- Orchitis
- Scrotal abscess
- Spermatocele
- Tinea cruris
- Testicular rupture
- Testicular torsion
- Testicular trauma
- Testicular tumor
- Torsion of testicular appendage
- Varicocele
- Pyocele
- Testicular malignancy
- Scrotal wall hematoma
Management
- Most testicular injuries are managed conservatively
- Analgesia, ice, elevation, scrotal support, urology f/u
- Tesicular rupture requires early surgical intervention