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Testicular trauma can be caused by blunt force impacts from accidents or injuries. Symptoms include testicular pain and scrotal hematoma. Ultrasound is used to locate any hematomas internally and detect ruptures or decreased blood flow. Mild cases without rupture or low blood flow may be treated conservatively with analgesics and scrotal elevation. More severe injuries involving hematomas, ruptures, or poor blood flow require surgical treatment such as detorsion, hematoma removal, or orchiectomy in cases of complete destruction.
Testicular trauma can be caused by blunt force impacts from accidents or injuries. Symptoms include testicular pain and scrotal hematoma. Ultrasound is used to locate any hematomas internally and detect ruptures or decreased blood flow. Mild cases without rupture or low blood flow may be treated conservatively with analgesics and scrotal elevation. More severe injuries involving hematomas, ruptures, or poor blood flow require surgical treatment such as detorsion, hematoma removal, or orchiectomy in cases of complete destruction.
Testicular trauma can be caused by blunt force impacts from accidents or injuries. Symptoms include testicular pain and scrotal hematoma. Ultrasound is used to locate any hematomas internally and detect ruptures or decreased blood flow. Mild cases without rupture or low blood flow may be treated conservatively with analgesics and scrotal elevation. More severe injuries involving hematomas, ruptures, or poor blood flow require surgical treatment such as detorsion, hematoma removal, or orchiectomy in cases of complete destruction.
injuries depending on the etiology of testicular trauma. Ultrasonography of the Testes Important is the localization of the hematoma, which can be scrotal, in the cavum serosum testis or within the testicular parenchyma. The next important step in ultrasonography is the detection of a testicular rupture. Detection of decreased blood flow with Doppler ultrasonography. The extent of injury can be easily underestimated with ultrasonography. Conservative treatment Indicated for mild hematoma without tear of the tunica albuginea and without decreased blood flow of the testis. Conservative treatment consists of analgesics, elevation of the Surgical Treatment
The scrotal management is necessary for a
pronounced hematoma (hematocele), for suspected testicular rupture and for a decreased testicular blood flow. Surgical treatment depends on the intraoperative findings: detorsion of the testis, removal of hematoma or nonviable tissue, suture of the tunica albuginea. Orchiectomy is necessary in complete testicular destruction.