Testicular rupture

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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

  • Scrotal ultrasound required for all blunt testicular injuries
    • Reliable in diagnosing ruptured testes[1]

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.