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The testicle, surrounded by the scrotum, may be injured if there is a genital, abdominal or pelvic trauma. These injuries may be open or closed.
The cause is generally a road accident, traumatic injuries when practising contact sports, intense sexual activity or firearm wounds.
It manifests as severe testicular pain, scrotal haematoma and swelling.
The diagnosis is made with the medical history, a physical examination based on monitoring and palpation, and, depending on the case, testicular ultrasound.
Treatment will depend on the scope of the lesion, as it could be conservative or surgical.
- Catherine E Perron. Scrotal trauma in children and adolescents. UpToDate. Sep 23, 2016.
- S imhan J, Rothman J, Canter D, et al. Gunshot wounds to the scrotum: a large single-institutional 20-year experience. BJU Int 2012; 109:1704.
- Najibi S, Tannast M, Latini JM. Civilian gunshot wounds to the genitourinary tract: incidence, anatomic distribution, associated injuries, and outcomes. Urology 2010; 76:977.
- Guichard G, El Ammari J, Del Coro C, et al. Accuracy of ultrasonography in diagnosis of testicular rupture after blunt scrotal trauma. Urology 2008; 71:52.
- Kim SH, Park S, Choi SH, et al. Significant predictors for determination of testicular rupture on sonography: a prospective study. J Ultrasound Med 2007; 26:1649.
- Beatriz Alonso Castañeda, Verónica Díaz Madrid, Mario Fernández Ruiz, David García Esparza y Bárbara Otero Perpiñá. Urgencias Urológicas.Manual de diagnóstico y terapéutica médica Hospital Universitario 12 de octubre. 6ª edición. 2007. 138:138.
Dr. Elvira Moreno
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