Testicular rupture
Background
- Most commonly result of blunt trauma
- Typically MVA or sports related inury
Clinical Feature
- Testicular pain
- Scrotal swelling
- Scrotal hematoma or ecchymosis
Diagnosis
- Scrotal ultrasound required for all blunt testicular injuries
- Reliable in diagnosing ruptured testes[1]
Differential Diagnosis
Lower GU Trauma
Testicular Diagnoses
- Testicular torsion
- Epididymitis
- Orchitis
- Torsion of testicular appendage
- Scrotal abscess
- Fournier gangrene
- Hydrocele
- Indirect inguinal hernia
- Hematocele
- Spermatocele
- Testicular trauma
- Testicular rupture
- Varicocele
- Inguinal lymph node (Lymphadenitis)
- Testicular tumor
- Cellulitis
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
Referenes
- ↑ Buckley JC, McAninch JW. Use of ultrasonography for the diagnosis of testicular injuries in blunt scrotal trauma. J Urol 2006;175:175-8.
- ↑ 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.