Testicular Ultrasound for Trauma

Albert, N. Erick

doi:10.1016/s0022-5347(17)55543-3

Cited by 40 publications

(6 citation statements)

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“…Scrotal ultrasonography (SUS) is the most sensitive and specific imaging method for detecting intrascrotal injury (Level of evidence, LOE, 2) [10][11][12][13]. The primary goal of SUS is to assess the integrity and vascularity of the testes.…”

Section: © 2 0 0 4 B J U I N T E R N a T I O N A Lmentioning

confidence: 99%

Consensus on genitourinary trauma: external genitalia

et al. 2004

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Section: © 2 0 0 4 B J U I N T E R N a T I O N A Lmentioning

confidence: 99%

Consensus on genitourinary trauma: external genitalia

et al. 2004

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“…However, any alteration of the normal testicular echogenicity in traumatized patients suggests testicular rupture and requires surgery. There have been a few reports documenting the usefulness of sonography in evaluating testicular trauma [5,6]. We previously reported our initial experience with 19 patients with testicular trauma [7].…”

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confidence: 99%

Sonography of testicular trauma

Rb¹,

Laing²,

Hricak³

et al. 1983

American Journal of Roentgenology

109

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The sonographic features were reviewed in 30 cases of testicular trauma. Sonogra phy correctly diagnosed testicular rupture in 12 surgically proven cases. Two additional cases of testicular rupture were diagnosed by sonography in patients who refused surgery. One false-positive diagnosis occurred in a patient with a large scrotal hema toma. There were no known false-negative diagnoses. Discrete fracture planes often are not identified by sonography in cases of testicular rupture. However, any alteration of the normal testicular echogenicity in traumatized patients suggests testicular rupture and requires surgery. There have been a few reports documenting the usefulness of sonography in evaluating testicular trauma [5,6]. We previously reported our initial experience with 19 patients with testicular trauma [7]. Here we describe an additional 11 patients and several newer sonographic observations. Materials and MethodsThe medical and surgical records and sonograms of 30 patients with scrotal trauma seen over a 3-year period were reviewed. There were 29 cases of blunt testicular trauma and one case of penetrating trauma. Twenty-nine patients were 21-38 years old; one patient was 81. Surgery was performed in 17 patients. The interval between sonography and operation was less than 72 hr in all cases.Initially in this series, sonograms were obtained with a B-mode static scanner using a 5 MHz short-focus transducer. More recently, patients were examined primarily with either 7.5 or 10.0 MHz high-resolution real-time units.

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“…Therefore, for precise diagnosis and proper treatment, imaging studies are necessary. The most sensitive and specific imaging modality for diagnosis of testicular injury is scrotal ultrasonography ( 14 15 16 17 ). The integrity and vascularity of the testis can be evaluated by scrotal ultrasonography, so that rupture of testis can be distinguished from hematocele, hydrocele, testicular torsion, or epididymitis ( 12 ).…”

Section: Discussionmentioning

confidence: 99%

Trends in Testicular Injury in Korea, 1986–2015

Lee

Choi

et al. 2017

J Korean Med Sci

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The objectives of this study were to investigate patients treated for scrotal trauma at our institute for the last three decades to describe our experience with an emphasis on the etiologies and ultrasonographic findings in these patients. We reviewed medical records of patients who underwent scrotal ultrasonography for evaluation of testicular trauma at our institutes from 1986 to 2015. Trends regarding the etiology of scrotal trauma were evaluated during each decade. The echo pattern and contour definition of the testicular parenchyma and the pattern of hematoma development were recorded to evaluate radiographic findings of testicular injury. The correlation between ultrasonographic and intraoperative findings was assessed. A total of 115 patients were analyzed. Most patients (92.2%) presented with blunt trauma. The most common etiology of testicular trauma was assault during the first and second decades, while injury related to a fall was most common during the third decade. Of the 77 patients (67.0%) who underwent urgent exploration, 46 patients (59.7%) had testicular rupture. Loss of contour definition, heterogeneous echo pattern of the testicular parenchyma, and testicular hematoma showed a moderate to strong degree of correlation with testicular rupture (Spearman correlation co-efficient: 0.5–0.8). Over the past 30 years, the etiology of testicular injury changed from assault to falls or athletic injury and the severity of injury has decreased. Our findings demonstrate the importance of ultrasonography for determining an appropriate management strategy in scrotal trauma. Surgical exploration should be considered in patients with abnormal ultrasonographic findings.

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Testicular Ultrasound for Trauma

Abstract: Ultrasonography (gray scale) of the scrotal contents was used to identify 3 patients with testicular rupture after groin trauma, which was confirmed at operation. Ultrasound examination was helpful in identifying rapidly those patients who needed surgical repair.

Cited by 40 publications

References 1 publication

Consensus on genitourinary trauma: external genitalia

Consensus on genitourinary trauma: external genitalia

Sonography of testicular trauma

Trends in Testicular Injury in Korea, 1986–2015

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