Testicular rupture

Revision as of 01:23, 26 July 2016 by Neil.m.young (talk | contribs) (Text replacement - "==Diagnosis==" to "==Evaluation==")
(diff) ← Older revision | Latest revision (diff) | Newer revision → (diff)

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

Evaluation

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

  1. Buckley JC, McAninch JW. Use of ultrasonography for the diagnosis of testicular injuries in blunt scrotal trauma. J Urol 2006;175:175-8.
  2. 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.