TRAUMA
TESTICULAR TRAUMA
Testicular rupture salvage rates with exploration and repair exceed 90% within 3 days of injury (1,2,3,4) versus orchiectomy rates 3-8x as high with conservative management and delayed surgery. (3) Significant testicular hematoma should be explored and drained even in absence of testicular rupture to prevent progressive pressure necrosis and atrophy and prevent delayed exploration (40%) and orchiectomy (15%). (5) Significant hematocele should be explored regardless of imaging studies because up to 80% are caused by testicular rupture. (6,7)
Testicular rupture salvage rates with exploration and repair exceed 90% within 3 days of injury (1,2,3,4) versus orchiectomy rates 3-8x as high with conservative management and delayed surgery. (3) Significant testicular hematoma should be explored and drained even in absence of testicular rupture to prevent progressive pressure necrosis and atrophy and prevent delayed exploration (40%) and orchiectomy (15%). (5) Significant hematocele should be explored regardless of imaging studies because up to 80% are caused by testicular rupture. (6,7)
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- Schuster, George. "Traumatic rupture of the testicle and a review of the literature." The Journal of urology 127.6 (1982): 1194-1196.
- Cass, Alexander S., and Michael Luxenberg. "Testicular injuries." Urology 37.6 (1991): 528-530.
- Fournier Jr, G. R., F. C. Laing, and J. W. McAninch. "Scrotal ultrasonography and the management of testicular trauma." The Urologic Clinics of North America 16.2 (1989): 377-385.
- Cass, A. S., and Michael Luxenberg. "Value of early operation in blunt testicular contusion with hematocele." The Journal of urology 139.4 (1988): 746-747.
- Vaccaro, John A., et al. "Traumatic hematocele: association with rupture of the testicle." The Journal of urology 136.6 (1986): 1217-1218.
- Buckley, Jill C., and Jack W. McAninch. "Use of ultrasonography for the diagnosis of testicular injuries in blunt scrotal trauma." The Journal of urology 175.1 (2006): 175-178.