Testicular trauma
Presentation
- 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),
Imaging
- Scrotal ultrasound required for all blunt testicular injuries
- Reliable in diagnosing ruptured testes
Treatment
- Most testicular injuries are managed conservatively
- Analgesia, ice, elevation, scrotal support, urology f/u
- Tesicular rupture requires early surgical intervention