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Testicular trauma
From WikEM
Contents
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
- Bladder trauma
- Urethral trauma
- Testicular trauma
- Penile trauma
- Vaginal trauma
- Sexual assault
- Child abuse
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
- Tinea cruris
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
- Testicular rupture
- Testicular dislocation (absence)
See Also
References
- ↑ Buckley JC, McAninch JW. Use of ultrasonography for the diagnosis of testicular injuries in blunt scrotal trauma. J Urol 2006;175:175-8.
