Testicular trauma: Difference between revisions
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*Testicular dislocation | *Testicular dislocation | ||
**Absent testicle | **Absent testicle | ||
==Differential Diagnosis== | |||
{{Lower GU trauma DDX}} | |||
{{Testicular DDX}} | |||
==Diagnosis== | ==Diagnosis== | ||
*[[Scrotal ultrasound]] required for all blunt testicular injuries | *[[Scrotal ultrasound]] required for all blunt testicular injuries | ||
**Reliable in diagnosing ruptured testes<ref>Buckley JC, McAninch JW. Use of ultrasonography for the diagnosis of testicular injuries in blunt scrotal trauma. J Urol 2006;175:175-8.</ref> | **Reliable in diagnosing ruptured testes<ref>Buckley JC, McAninch JW. Use of ultrasonography for the diagnosis of testicular injuries in blunt scrotal trauma. J Urol 2006;175:175-8.</ref> | ||
==Management== | ==Management== | ||
Revision as of 04:36, 18 June 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)
- Testicular dislocation
- Absent testicle
Differential Diagnosis
Genitourinary Trauma
- Urinary system
- Genital
- Other
- Child abuse
- Pelvic fracture (often accompanies)
- Sexual assault
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
Diagnosis
- 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 f/u
- Consult Urology for urgent operative care
- Testicular rupture
- Testicular dislocation (absence)
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.