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.
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References
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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].
Dogra V, Bhatt S. Acute painful scrotum. Radiol Clin North Am. Mar 2004;42(2):349-63. [Medline].
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.
Dogra VS, Gottlieb RH, Oka M. Sonography of the scrotum. Radiology. Apr 2003;227(1):18-36.
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].
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].
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].
Bhatt S, Dogra VS. Role of US in testicular and scrotal trauma. Radiographics. Oct 2008;28(6):1617-29. [Medline].
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].
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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].
Lin EP, Bhatt S, Rubens DJ, Dogra VS. Testicular torsion: twists and turns. Semin Ultrasound CT MR. Aug 2007;28(4):317-28. [Medline].
Ezra N, Afari A, Wong J. Pelvic and scrotal trauma: CT and triage of patients. Abdom Imaging. Jul 2009;34(4):541-4. [Medline].
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].
Bhandary P, Abbitt PL, Watson L. Ultrasound diagnosis of traumatic testicular rupture. J Clin Ultrasound. Jun 1992;20(5):346-8. [Medline].
Cass AS, Luxenberg M. Testicular injuries. Urology. Jun 1991;37(6):528-30. [Medline].
Haas CA, Brown SL, Spirnak JP. Penile fracture and testicular rupture. World J Urol. Apr 1999;17(2):101-6. [Medline].
Herbener TE. Ultrasound in the assessment of the acute scrotum. J Clin Ultrasound. Oct 1996;24(8):405-21. [Medline].
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].
McAninch JW, Kahn RI, Jeffrey RB. Major traumatic and septic genital injuries. J Trauma. Apr 1984;24(4):291-8. [Medline].
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].
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
Follow-up: Testicle, Trauma