Testicular trauma

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

Genitourinary Trauma

Testicular Diagnoses

Management

  • Most testicular injuries are managed conservatively
    • Analgesia, ice, elevation, scrotal support, urology f/u
  • Tesicular rupture requires early surgical intervention

See Also