Testicular trauma

Revision as of 19:35, 16 June 2015 by Kian (talk | contribs) (added references section)

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

Diagnosis

Differential Diagnosis

Genitourinary Trauma

Testicular Diagnoses

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)

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.

See Also