Testicular rupture - Revision history

Rossdonaldson1: /* Evaluation */

2022-01-06T07:03:15Z

Evaluation

← Older revision		Revision as of 07:03, 6 January 2022
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	==Evaluation==		==Evaluation==
			[[File:PMC3698892 IJRI-22-293-g011.png\|thumb\|Transverse images of the left testis demonstrate a hypoechoic linear area (arrow) indicative of a testicular fracture in a patient with history of scrotal trauma. Associated hematocele (curved arrow) is also noted.]]
	*[[Scrotal ultrasound]] required for all blunt testicular injuries		*[[Scrotal ultrasound]] required for all blunt testicular injuries
	**Reliable in diagnosing ruptured testes<ref>Buckley JC, McAninch JW. Use of ultrasonography for the diagnosis of testicular injuries in blunt scrotal trauma. J Urol 2006;175:175-8.</ref>		**Reliable in diagnosing ruptured testes<ref>Buckley JC, McAninch JW. Use of ultrasonography for the diagnosis of testicular injuries in blunt scrotal trauma. J Urol 2006;175:175-8.</ref>

Rossdonaldson1: /* Background */

2020-06-04T20:15:04Z

Background

← Older revision		Revision as of 20:15, 4 June 2020
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	==Background==		==Background==
	[[File:Gray1144.png\|thumb\|Scrotal anatomy]]		[[File:Gray1144.png\|thumb\|Scrotal anatomy]]
	[[File:~~Figure_28_01_03~~\|thumb\|Testicular anatomy]]		[[File:Figure 28 01 03.jpg\|thumb\|Testicular anatomy]]
	*Most commonly result of blunt trauma		*Most commonly result of blunt trauma
	*Typically MVA or sports related inury		*Typically MVA or sports related inury

Rossdonaldson1: /* Background */

2020-06-04T20:14:06Z

Background

← Older revision		Revision as of 20:14, 4 June 2020
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	==Background==		==Background==
	[[File:Gray1144.png\|thumb\|Scrotal anatomy]]		[[File:Gray1144.png\|thumb\|Scrotal anatomy]]
	[[Figure_28_01_03\|thumb\|Testicular anatomy]]		[[File:Figure_28_01_03\|thumb\|Testicular anatomy]]
	*Most commonly result of blunt trauma		*Most commonly result of blunt trauma
	*Typically MVA or sports related inury		*Typically MVA or sports related inury

Rossdonaldson1: /* Background */

2020-06-04T20:13:51Z

Background

← Older revision		Revision as of 20:13, 4 June 2020
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	==Background==		==Background==
	[[File:Gray1144.png\|thumb\|Scrotal anatomy]]		[[File:Gray1144.png\|thumb\|Scrotal anatomy]]
			[[Figure_28_01_03\|thumb\|Testicular anatomy]]
	*Most commonly result of blunt trauma		*Most commonly result of blunt trauma
	*Typically MVA or sports related inury		*Typically MVA or sports related inury

Rossdonaldson1: /* Background */

2020-06-04T20:12:07Z

Background

← Older revision		Revision as of 20:12, 4 June 2020
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	==Background==		==Background==
			[[File:Gray1144.png\|thumb\|Scrotal anatomy]]
	*Most commonly result of blunt trauma		*Most commonly result of blunt trauma
	*Typically MVA or sports related inury		*Typically MVA or sports related inury

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-26T01:23:25Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Older revision		Revision as of 01:23, 26 July 2016
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	*[[Cellulitis]]		*[[Cellulitis]]

	==~~Diagnosis~~==		==Evaluation==
	*[[Scrotal ultrasound]] required for all blunt testicular injuries		*[[Scrotal ultrasound]] required for all blunt testicular injuries
	**Reliable in diagnosing ruptured testes<ref>Buckley JC, McAninch JW. Use of ultrasonography for the diagnosis of testicular injuries in blunt scrotal trauma. J Urol 2006;175:175-8.</ref>		**Reliable in diagnosing ruptured testes<ref>Buckley JC, McAninch JW. Use of ultrasonography for the diagnosis of testicular injuries in blunt scrotal trauma. J Urol 2006;175:175-8.</ref>

Ostermayer: Text replacement - "Category:GU" to "Category:Urology"

2016-03-22T17:01:10Z

Text replacement - "Category:GU" to "Category:Urology"

← Older revision		Revision as of 17:01, 22 March 2016
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	<references/>		<references/>

	[[Category:GU]]		[[Category:Urology]]
	[[Category:Trauma]]		[[Category:Trauma]]

Rossdonaldson1 at 04:19, 18 June 2015

2015-06-18T04:19:13Z

← Older revision		Revision as of 04:19, 18 June 2015
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	*Typically MVA or sports related inury		*Typically MVA or sports related inury

	==Clinical ~~Feature~~==		==Clinical Features==
	*Testicular pain		*Testicular pain
	*Scrotal swelling		*Scrotal swelling
	*Scrotal hematoma or ecchymosis		*Scrotal hematoma or ecchymosis

	~~==Diagnosis==~~
	*[[Scrotal ultrasound]] required for all blunt testicular injuries
	**Reliable in diagnosing ruptured testes<ref>Buckley JC, McAninch JW. Use of ultrasonography for the diagnosis of testicular injuries in blunt scrotal trauma. J Urol 2006;175:175-8.</ref>

	==Differential Diagnosis==		==Differential Diagnosis==
Line 35:		Line 31:
	*[[Testicular tumor]]		*[[Testicular tumor]]
	*[[Cellulitis]]		*[[Cellulitis]]

			==Diagnosis==
			*[[Scrotal ultrasound]] required for all blunt testicular injuries
			**Reliable in diagnosing ruptured testes<ref>Buckley JC, McAninch JW. Use of ultrasonography for the diagnosis of testicular injuries in blunt scrotal trauma. J Urol 2006;175:175-8.</ref>

	==Management==		==Management==
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	**45% salvage rate after 72 hours		**45% salvage rate after 72 hours

	==~~Referenes~~==		==Disposition==
	~~<references/>~~		*Normally admission

	==See Also==		==See Also==
	*[[GU Trauma]]		*[[GU Trauma]]
	*[[Testicular diagnoses]]		*[[Testicular diagnoses]]

			==References==
			<references/>

	[[Category:GU]]		[[Category:GU]]
	[[Category:Trauma]]		[[Category:Trauma]]

Kian: added page for testicular rupture

2015-06-16T19:48:43Z

added page for testicular rupture

New page

==Background==
*Most commonly result of blunt trauma
*Typically MVA or sports related inury

==Clinical Feature==
*Testicular pain
*Scrotal swelling
*Scrotal hematoma or ecchymosis

==Diagnosis==
*[[Scrotal ultrasound]] required for all blunt testicular injuries
**Reliable in diagnosing ruptured testes<ref>Buckley JC, McAninch JW. Use of ultrasonography for the diagnosis of testicular injuries in blunt scrotal trauma. J Urol 2006;175:175-8.</ref>

==Differential Diagnosis==
===[[Genitourinary trauma|Lower GU Trauma]]===
*[[Bladder trauma]]
*[[Urethral trauma]]
*[[Testicular trauma]]
*[[Penile trauma]]
===[[Testicular diagnoses|Testicular Diagnoses]]===
*[[Testicular torsion]]
*[[Epididymitis]]
*[[Orchitis]]
*[[Torsion of testicular appendage]]
*[[Scrotal abscess]]
*[[Fournier gangrene]]
*[[Hydrocele]]
*Indirect inguinal [[hernia]]
*[[Hematocele]]
*[[Spermatocele]]
*[[Testicular trauma]]
*[[Testicular rupture]]
*[[Varicocele]]
*Inguinal lymph node ([[Lymphadenitis]])
*[[Testicular tumor]]
*[[Cellulitis]]

==Management==
*Urologic consultation
*Emergent scrotal exploration and testicular repair<ref>Chang, Andrew J.; Brandes, Steven B. (Aug 2013). "Advances in diagnosis and management of genital injuries". The Urologic Clinics of North America 40 (3): 427–438.</ref>
**90% of testicles salvaged when repaired < 72 hr from injury
**45% salvage rate after 72 hours

==Referenes==
<references/>

==See Also==
*[[GU Trauma]]
*[[Testicular diagnoses]]

[[Category:GU]]
[[Category:Trauma]]