Testicular trauma

Presentation

• 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),

Imaging

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

Treatment

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

See Also

GU Trauma