Value of Testicular Ultrasound in the Evaluation of Blunt Scrotal Trauma without Haematocele

Abstract

The value of ultrasound in testicular trauma with haematocele has been questioned inasmuch as the injured testis should always be explored surgically. Ultrasonography, however, plays an important role in the diagnosis and follow-up of patients with blunt scrotal trauma without haematocele. We have evaluated 17 such patients with real-time ultrasound. In 9 cases the testis and epididymis were normal to palpation, although in 6 of them parenchymal lesions, mainly subcapsular haematomas and parenchymal contusions not amenable to surgical intervention, were detected with ultrasonography. Seven patients presented with changes in the testicular or epididymal morphology at palpation and in 1 case the testes were not palpable. Ultrasonography was of great value, indicating surgery in 6 of these patients where physical examination alone was not sufficient to establish the need for surgical exploration.

Traumatismes fermés des bourses: stratégie de prise en charge

“…La symptomatologie clinique depend de I'importance du choc, des lesions anatomiques et du delai de la premiere consultation [1,9,20]. Le tableau clinique est en regle domine par la douleur scrotale (73,8%) et I'augmentation du volume de la bourse (89,2%) ce qui peut rendre I'examen clinique difficile voir impossible.…”

“…En effet plusieurs auteurs ont rapporte une faible sensibilite de I'echographie dans la differenciation entre une contusion et une fracture testiculaire [7], d'autres ont demontre que I'hematocele et I'hematome intra testiculaire sont bien vus par cet examen [20].…”

Review of Diagnosis and Management of Scrotal Trauma with a Case Report

“…Contusion or hematoma II Subclinical laceration of tunica albuginea III Laceration of tunica albuginea with <50% parenchymal loss IV Major laceration of tunica albuginea with & 50% parenchymal loss V Total testicular destruction or avulsion High-resolution, real-time USG use to diagnosis of intra-and/or extra-testicular haematoma, testicular contusion, or rupture [21][22][23][24][25][26][27][28] .…”