Stumpfes Hodentrauma - wann konservative, wann operative Behandlung?

Abstract

The following recommendations can be made for treatment of blunt testicular injury: if rupture of the testis is detected sonographically, immediate surgical exploration is indicated. Every change in testicular structure must be considered a possible sign of testicular rupture. Sonographically detected hematoceles without visible signs of rupture are not given clear recommendations in the literature. However, early surgical intervention (within 72 hours) seems to increase the likelihood of preserving the testis. In every case of unclear clinical or sonographic findings, surgical exploration of the scrotum should be done. If offers a safe and quick diaganosis with a very low complication rate.

Testicular Rupture or Testicular Fracture? A Case Report and Literature Review

“…Rupture or fracture of the testis might result in the release of spermatic antigens and the subsequent exposure to the immune system resulting in the production of antisperm antibodies. This might lead to infertility by affecting sperm function [ 1 ], and early surgical intervention within 72 hours is necessary to prevent these complications [ 2 ]. In this paper we present a case of testicular injury and we discuss the difference between testicular rupture and testicular fracture by reviewing the literature on the terminology.…”