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27.08.2016 | Urology - Review

Diagnosis and management of testicular rupture after blunt scrotal trauma: a literature review

verfasst von: Zhao Wang, Jin-rui Yang, Yu-meng Huang, Long Wang, Long-fei Liu, Yong-bao Wei, Liang Huang, Quan Zhu, Ming-qiang Zeng, Zheng-yan Tang

Erschienen in: International Urology and Nephrology | Ausgabe 12/2016

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Abstract

Testicular rupture, one of the most common complications in blunt scrotal trauma, is the rupture of tunica albuginea and extrusion of seminiferous tubules. Testicular rupture is more inclined to young men, and injury mechanisms are associated with sports and motor accidents. After history taking and essential physical examination, scrotal ultrasound is the first-line auxiliary examination. MRI is also one of the vital complementary examinations to evaluate testicular rupture after blunt scrotal trauma. Surgical exploration and repair may be necessary when the diagnosis of testicular rupture is definite or suspicious. Postoperative follow-up is to monitor the relief of local symptoms and changes of testicular functions. This review sums up the literatures about testicular rupture after blunt scrotal trauma in recent 16 years and also refers some new advantages and perspectives on diagnosis and management of testicular rupture.

Deurdulian C, Mittelstaedt CA, Chong WK et al (2007) US of acute scrotal trauma: optimal technique, imaging findings, and management. Radiographics 27:357–369CrossRefPubMed

Buckley JC, McAninch JW (2006) Use of ultrasonography for the diagnosis of testicular injuries in blunt scrotal trauma. J Urol 175:175–178CrossRefPubMed

Pogorelic Z, Juric I, Biocic M et al (2011) Management of testicular rupture after blunt trauma in children. Pediatr Surg Int 27:885–889CrossRefPubMed

Lehnert BE, Sadro C, Monroe E et al (2014) Lower male genitourinary trauma: a pictorial review. Emerg Radiol 21:67–74CrossRefPubMed

Akay S, Kaygisiz M, Oztas M et al (2015) Surgically confirmed intra- and extratesticular hematoma clinically mimicing epididymo-orchitis and radiologically mimicing traumatic torsion. Pol J Radiol 80:486–489CrossRefPubMedPubMedCentral

Ballestero R, Correas GM, Lastra GP et al (2013) Testicular reconstruction after testicular rupture and review of the literature. Arch Esp Urol 66:372–376PubMed

Freehill MT, Gorbachinsky I, Lavender JD et al (2015) Presumed testicular rupture during a college baseball game: a case report and review of the literature for on-field recognition and management. Sports Health 7:177–180CrossRefPubMedPubMedCentral

Wasko R, Goldstein AG (1966) Traumatic rupture of the testicle. J Urol 95:721–723PubMed

Lobianco R, Regine R, De Siero M et al (2011) Contrast-enhanced sonography in blunt scrotal trauma(). J Ultrasound 14:188–195CrossRefPubMedPubMedCentral

10.

Buckley JC, McAninch JW (2006) Diagnosis and management of testicular ruptures. Urol Clin North Am 33:111–116CrossRefPubMed

11.

Bjurlin MA, Goble SM, Fantus RJ et al (2011) Outcomes in geriatric genitourinary trauma. J Am Coll Surg 213:415–421CrossRefPubMed

12.

Lee SH, Bak CW, Choi MH et al (2008) Trauma to male genital organs: a 10-year review of 156 patients, including 118 treated by surgery. BJU Int 101:211–215PubMed

13.

Muttarak M, Thinyu S, Lojanapiwat B (2007) Clinics in diagnostic imaging (114). Rupture of the right testis. Singapore Med J 48(264–268):269

14.

Gadda F, Spinelli MG, Cozzi G et al (2012) Emergency testicular sperm extraction after scrotal trauma in a patient with a history of contralateral orchiopexy for cryptorchidism: case report and review of the literature. Fertil Steril 97:1074–1077CrossRefPubMed

15.

Adams RJ, Attia M, Cronan K (2008) Report of 4 cases of testicular rupture in adolescent boys secondary to sports-related trauma. Pediatr Emerg Care 24:847–848CrossRefPubMed

16.

Negrine R, Easter W, Fraser I et al (2010) Neonatal testicular trauma: scrotal rupture. Arch Dis Child Fetal Neonatal Ed 95:F193CrossRefPubMed

17.

Chandra RV, Dowling RJ, Ulubasoglu M et al (2007) Rational approach to diagnosis and management of blunt scrotal trauma. Urology 70:230–234CrossRefPubMed

18.

Cannis M, Mailhot T, Perera P (2013) Bedside ultrasound in a case of blunt scrotal trauma. West J Emerg Med 14:127–129CrossRefPubMedPubMedCentral

19.

D’Andrea A, Coppolino F, Cesarano E et al (2013) US in the assessment of acute scrotum. Crit Ultrasound J 5(Suppl 1):S8CrossRefPubMedPubMedCentral

20.

Hormann M, Balassy C, Philipp MO et al (2004) Imaging of the scrotum in children. Eur Radiol 14:974–983CrossRefPubMed

21.

Hunter SR, Lishnak TS, Powers AM et al (2013) Male genital trauma in sports. Clin Sports Med 32:247–254CrossRefPubMed

22.

Cubillos J, Reda EF, Gitlin J et al (2010) A conservative approach to testicular rupture in adolescent boys. J Urol 184:1733–1738CrossRefPubMed

23.

Pepe P, Panella P, Pennisi M et al (2006) Does color Doppler sonography improve the clinical assessment of patients with acute scrotum? Eur J Radiol 60:120–124CrossRef

24.

Guichard G, El AJ, Del CC et al (2008) Accuracy of ultrasonography in diagnosis of testicular rupture after blunt scrotal trauma. Urology 71:52–56CrossRefPubMed

25.

Lunawat R, Craciun M, Omorphos S et al (2014) Seminoma presented as testicular rupture: case report and literature review. Can Urol Assoc J 8:E749–E751CrossRefPubMedPubMedCentral

26.

Luchey A, Rogers A, Saunders SE et al (2009) Blunt testicular trauma results in rupture of mixed germ cell tumor. Can J Urol 16:4955–4957PubMed

27.

Kim SH, Park S, Choi SH et al (2007) Significant predictors for determination of testicular rupture on sonography: a prospective study. J Ultrasound Med 26:1649–1655PubMed

28.

Culty T, Ravery V (2006) Scrotal trauma: management strategy. Ann Urol (Paris) 40:117–125CrossRef

29.

Vaidyanathan S, Soni BM, Singh G et al (2001) Blunt trauma to scrotum in men with spinal cord injury after they had completed rehabilitation in a spinal unit. Spinal Cord 39:442–448CrossRefPubMed

30.

Parenti GC, Feletti F, Brandini F et al (2009) Imaging of the scrotum: role of MRI. Radiol Med 114:414–424CrossRefPubMed

31.

Kim SH, Park S, Choi SH et al (2009) The efficacy of magnetic resonance imaging for the diagnosis of testicular rupture: a prospective preliminary study. J Trauma 66:239–242CrossRefPubMed

32.

Shafik A (1990) The scrotoscope. A new instrument for examining the scrotal contents. Br J Urol 65:209–210CrossRefPubMed

33.

Gerris J, Van Camp C, Van Neuten J et al (1988) Scrotal endoscopy in male infertility. Lancet 1:1102CrossRefPubMed

34.

Bin Y, Yong-Bao W, Zhuo Y et al (2014) Minimal hydrocelectomy with the aid of scrotoscope: a ten-year experience. Int Braz J Urol 40:384–389CrossRefPubMed

35.

Wang Z, Wei YB, Yin Z et al (2015) Diagnosis and management of scrotal superficial Angiomyxoma with the aid of a scrotoscope: case Report and Literature Review. Clin Genitourin Cancer 13:e311–e313CrossRefPubMed

36.

Yang JR, Wei YB, Yan B et al (2015) Comparison between Open Epididymal Cystectomy and Minimal Resection of Epididymal Cysts Using a Scrotoscope: a clinical trial for the evaluation of a new surgical technique. Urology 85:1510–1514CrossRefPubMed

37.

Yang J, Huang X (1996) [Comparative study of the diagnostic preciseness of scrotoscope and B-ultrasonography on scrotal lesions]. Zhonghua Wai Ke Za Zhi 34:173–175PubMed

38.

Yin Z, Yang JR, Wang Z et al (2015) [Application of scrotoscope in the diagnosis and treatment of testicular and epididymal diseases]. Beijing Da Xue Xue Bao 47:648–652PubMed

39.

Moschouris H, Stamatiou K, Lampropoulou E et al (2009) Imaging of the acute scrotum: is there a place for contrast-enhanced ultrasonography? Int Braz J Urol 35(692–702):702–705

40.

Chang AJ, Brandes SB (2013) Advances in diagnosis and management of genital injuries. Urol Clin North Am 40:427–438CrossRefPubMed

41.

Molokwu CN, Doull RI, Townell NH (2010) A novel technique for repair of testicular rupture after blunt trauma. Urology 76:1002–1003CrossRefPubMed

42.

Micallef M, Ahmad I, Ramesh N et al (2001) Ultrasound features of blunt testicular injury. Injury 32:23–26CrossRefPubMed

43.

Meacham RB (2004) Management of testicular rupture in the nonacute setting–explore or observe? J Androl 25:864CrossRefPubMed

44.

Dalton DM, Davis NF, O’Neill DC et al (2016) Aetiology, epidemiology and management strategies for blunt scrotal trauma. Surgeon 14:18–21CrossRefPubMed

Titel: Diagnosis and management of testicular rupture after blunt scrotal trauma: a literature review
verfasst von: Zhao Wang
Jin-rui Yang
Yu-meng Huang
Long Wang
Long-fei Liu
Yong-bao Wei
Liang Huang
Quan Zhu
Ming-qiang Zeng
Zheng-yan Tang
Publikationsdatum: 27.08.2016
Verlag: Springer Netherlands
Erschienen in: International Urology and Nephrology / Ausgabe 12/2016
Print ISSN: 0301-1623
Elektronische ISSN: 1573-2584
DOI: https://doi.org/10.1007/s11255-016-1402-0

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