Testicular trauma

Background

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

Evaluation

Management

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

Disposition

  • See above. Depends on underlying diagnosis identified.

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.