eMedicine Specialties > Radiology > Genitourinary

Testicle, Trauma: Follow-up

Author: Vikram S Dogra, MD, Professor of Diagnostic Radiology, Urology, and Biomedical Engineering, University of Rochester School of Medicine; Director, Division of Ultrasound, Associate Chair of Education and Research, Department of Imaging Sciences, University of Rochester Medical Center
Contributor Information and Disclosures

Updated: Nov 16, 2009

Intervention

  • No radiologic intervention exists.
  • Surgically explore and repair the rupture early in patients with testicular rupture.
  • Discuss the possibility of orchiectomy with the patient.

Patient Education: For excellent patient education resources, visit eMedicine's Men's Health Center. Also, see eMedicine's patient education article Testicular Pain.

 


More on Testicle, Trauma

Overview: Testicle, Trauma
Imaging: Testicle, Trauma
Follow-up: Testicle, Trauma
Multimedia: Testicle, Trauma
References
Further Reading

References

  1. Adams RJ, Attia M, Cronan K. Report of 4 cases of testicular rupture in adolescent boys secondary to sports-related trauma. Pediatr Emerg Care. Dec 2008;24(12):847-8. [Medline].

  2. Okonkwo KC, Wong KG, Cho CT, Gilmer L. Testicular trauma resulting in shock and systemic inflammatory response syndrome: a case report. Cases J. May 12 2008;1(1):4. [Medline].

  3. Dogra V, Bhatt S. Acute painful scrotum. Radiol Clin North Am. Mar 2004;42(2):349-63. [Medline].

  4. Dogra VS, Bhatt S. Categorical Course in Diagnostic Radiology: Acute Scrotal Pain: Imaging Evaluation for a More Specific Diagnosis. Ramchandani P, ed. Oak Brook, Ill; Radiological Society of North America: Genitourinary Radiology;. 2006: 255-70.

  5. Dogra VS, Gottlieb RH, Oka M. Sonography of the scrotum. Radiology. Apr 2003;227(1):18-36.

  6. Parenti GC, Feletti F, Brandini F, Palmarini D, Zago S, Ginevra A, et al. Imaging of the scrotum: role of MRI. Radiol Med. Apr 2009;114(3):414-24. [Medline].

  7. Kim SH, Park S, Choi SH, Jeong WK, Choi JH. The efficacy of magnetic resonance imaging for the diagnosis of testicular rupture: a prospective preliminary study. J Trauma. Jan 2009;66(1):239-42. [Medline].

  8. Phonsombat S, Master VA, McAninch JW. Penetrating external genital trauma: a 30-year single institution experience. J Urol. Jul 2008;180(1):192-5; discussion 195-6. [Medline].

  9. Bhatt S, Dogra VS. Role of US in testicular and scrotal trauma. Radiographics. Oct 2008;28(6):1617-29. [Medline].

  10. Cassar S, Bhatt S, Paltiel HJ, Dogra VS. Role of spectral Doppler sonography in the evaluation of partial testicular torsion. J Ultrasound Med. Nov 2008;27(11):1629-38. [Medline].

  11. Lee JC, Bhatt S, Dogra VS. Imaging of the epididymis. Ultrasound Q. Mar 2008;24(1):3-16. [Medline].

  12. Bonkat G, Ruszat R, Forster T, Wyler S, Dogra VS, Bachmann A. [Benign space-occupying cysts in the testis. An overview]. Urologe A. Dec 2007;46(12):1697-703. [Medline].

  13. Lin EP, Bhatt S, Rubens DJ, Dogra VS. Testicular torsion: twists and turns. Semin Ultrasound CT MR. Aug 2007;28(4):317-28. [Medline].

  14. Ezra N, Afari A, Wong J. Pelvic and scrotal trauma: CT and triage of patients. Abdom Imaging. Jul 2009;34(4):541-4. [Medline].

  15. Anderson KA, McAninch JW, Jeffrey RB. Ultrasonography for the diagnosis and staging of blunt scrotal trauma. J Urol. Nov 1983;130(5):933-5. [Medline].

  16. Bhandary P, Abbitt PL, Watson L. Ultrasound diagnosis of traumatic testicular rupture. J Clin Ultrasound. Jun 1992;20(5):346-8. [Medline].

  17. Cass AS, Luxenberg M. Testicular injuries. Urology. Jun 1991;37(6):528-30. [Medline].

  18. Haas CA, Brown SL, Spirnak JP. Penile fracture and testicular rupture. World J Urol. Apr 1999;17(2):101-6. [Medline].

  19. Herbener TE. Ultrasound in the assessment of the acute scrotum. J Clin Ultrasound. Oct 1996;24(8):405-21. [Medline].

  20. Learch TJ, Hansch LP, Ralls PW. Sonography in patients with gunshot wounds of the scrotum: imaging findings and their value. AJR Am J Roentgenol. Oct 1995;165(4):879-83. [Medline].

  21. McAninch JW, Kahn RI, Jeffrey RB. Major traumatic and septic genital injuries. J Trauma. Apr 1984;24(4):291-8. [Medline].

  22. Sasso F, Gulino G, Di Pinto A. [Correlation between ultrasonography imaging and surgical findings in scrotal trauma]. Arch Ital Urol Androl. Apr 1995;67(2):159-62. [Medline].

  23. Schuster G. Traumatic rupture of the testicle and a review of the literature. J Urol. Jun 1982;127(6):1194-6. [Medline].

Further Reading

Related eMedicine topics

Testicular Trauma

Testicular Torsion (Emergency Medicine)

Testicular Torsion  (Radiology)

Scrotal Trauma


 

Keywords

testicular trauma, testicular fracture, testicular rupture, testicular contusion, testicular hematoma, celomic, coelomic

Contributor Information and Disclosures

Author

Vikram S Dogra, MD, Professor of Diagnostic Radiology, Urology, and Biomedical Engineering, University of Rochester School of Medicine; Director, Division of Ultrasound, Associate Chair of Education and Research, Department of Imaging Sciences, University of Rochester Medical Center
Vikram S Dogra, MD is a member of the following medical societies: American College of Radiology, American Institute of Ultrasound in Medicine, American Roentgen Ray Society, Association of Program Directors in Radiology, Radiological Society of North America, Society of Radiologists in Ultrasound, and Society of Uroradiology
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

Matthew D Rifkin, MD, Director, Department of Radiology, Good Samaritan Hospital
Disclosure: Nothing to disclose.

CME Editor

Robert M Krasny, MD, Resolution Imaging Medical Corporation
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

Eugene C Lin, MD, Consulting Radiologist, Virginia Mason Medical Center; Clinical Assistant Professor of Radiology, University of Washington School of Medicine
Eugene C Lin, MD is a member of the following medical societies: American College of Nuclear Medicine, American College of Radiology, Radiological Society of North America, and Society of Nuclear Medicine
Disclosure: Nothing to disclose.

 
 
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