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Bilateral traumatic testicular dislocation--a case report.

Hsiu-Nan Tsai1, Wen-Jeng Wu, Shu-Pin Huang

  • 1Department of Urology, Hsiao-Kang Hospital and Kaohsiung Medical University, No. 100, Shih-Chuan 1st Rd., Kaohsiung 807, Taiwan.

The Kaohsiung Journal of Medical Sciences
|June 12, 2002
PubMed
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Traumatic testicular dislocation, a rare consequence of blunt scrotal injury, can occur bilaterally after motorcycle accidents. Prompt diagnosis and surgical intervention are crucial for preserving testicular function.

Area of Science:

  • Urology
  • Trauma Surgery
  • Emergency Medicine

Background:

  • Traumatic testicular dislocation is an uncommon sequela of blunt scrotal trauma, often associated with straddle injuries.
  • Bilateral testicular dislocation is a particularly rare presentation.

Observation:

  • This report details a unique case of bilateral testicular dislocation following a motorcycle accident.
  • The patient presented with symptoms indicative of significant scrotal trauma.

Findings:

  • Abdominal computed tomography (CT) and color Doppler ultrasonography are effective diagnostic tools for locating dislocated testes and assessing vascularity.
  • Closed reduction may be attempted for superficial dislocations, but emergent surgical reduction is often necessary due to high failure rates of non-operative management.

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Implications:

  • Emergency physicians must maintain a high index of suspicion for testicular injury in trauma patients.
  • Early urological consultation and timely reduction are vital to mitigate histological damage and preserve testicular viability.