Testicular rupture: Difference between revisions
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==Background== | ==Background== | ||
[[File:Gray1144.png|thumb|Scrotal anatomy]] | [[File:Gray1144.png|thumb|Scrotal anatomy]] | ||
[[Figure_28_01_03|thumb|Testicular anatomy]] | |||
*Most commonly result of blunt trauma | *Most commonly result of blunt trauma | ||
*Typically MVA or sports related inury | *Typically MVA or sports related inury | ||
Revision as of 20:13, 4 June 2020
Background
- Most commonly result of blunt trauma
- Typically MVA or sports related inury
Clinical Features
- Testicular pain
- Scrotal swelling
- Scrotal hematoma or ecchymosis
Differential Diagnosis
Lower GU Trauma
Testicular Diagnoses
- Testicular torsion
- Epididymitis
- Orchitis
- Torsion of testicular appendage
- Scrotal abscess
- Fournier gangrene
- Hydrocele
- Indirect inguinal hernia
- Hematocele
- Spermatocele
- Testicular trauma
- Testicular rupture
- Varicocele
- Inguinal lymph node (Lymphadenitis)
- Testicular tumor
- Cellulitis
Evaluation
- Scrotal ultrasound required for all blunt testicular injuries
- Reliable in diagnosing ruptured testes[1]
Management
- Urologic consultation
- Emergent scrotal exploration and testicular repair[2]
- 90% of testicles salvaged when repaired < 72 hr from injury
- 45% salvage rate after 72 hours
Disposition
- Normally admission
See Also
References
- ↑ Buckley JC, McAninch JW. Use of ultrasonography for the diagnosis of testicular injuries in blunt scrotal trauma. J Urol 2006;175:175-8.
- ↑ Chang, Andrew J.; Brandes, Steven B. (Aug 2013). "Advances in diagnosis and management of genital injuries". The Urologic Clinics of North America 40 (3): 427–438.