Testicular trauma

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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

Differential Diagnosis

Genitourinary trauma

Testicular Diagnoses

Evaluation

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

Management

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

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.