Testicular trauma


Scrotal anatomy
Scrotal anatomy
Testicular anatomy
1. Epididymis 2. Head of epididymis 3. Lobules of epididymis 4. Body of epididymis 5. Tail of epididymis 6. Duct of epididymis 7. Deferent duct (ductus deferens or vas deferens)

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

Differential Diagnosis

Genitourinary Trauma

Testicular Diagnoses


Images of the for testicular trauma: normal anatomy, testicular rupture, hematoma, and torsion.
Sagittal ultrasound demonstrating a boundary between the subcapsular hematoma and testicle (white arrows). There is a loss of the clear tunica vaginalis along the right portion of the image, which is concerning for testicular rupture (orange arrow), compared with the intact tunica vaginalis (blue arrow).


  • Most testicular injuries are managed conservatively
    • Analgesia, ice, elevation, scrotal support, urology follow up
  • Consult Urology for urgent operative care


  • See above. Depends on underlying diagnosis identified.

See Also

External Links


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