Testicular trauma


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



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

See Also


  1. Buckley JC, McAninch JW. Use of ultrasonography for the diagnosis of testicular injuries in blunt scrotal trauma. J Urol 2006;175:175-8.