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Traumatic testicular dislocation
Reynaldo G Gómez1, Oscar Storme, Gabriel Catalán
1Urology Service, Hospital del Trabajador, Ramon Carnicer 185, Providencia, Santiago, Chile, gomez.reynaldo@gmail.com.
International Urology and Nephrology
|May 30, 2014
Summary
Traumatic testicular dislocation is a rare injury from blunt scrotal trauma, often missed. Prompt diagnosis and management, especially after high-energy accidents, lead to excellent outcomes for testicular preservation.
Area of Science:
- Urology
- Trauma Surgery
- Emergency Medicine
Background:
- Traumatic testicular dislocation is an uncommon consequence of direct blunt scrotal trauma.
- The testicle migrates outside the scrotum, typically to the superficial inguinal region.
Purpose of the Study:
- To review cases of traumatic testicular dislocation.
- To analyze diagnostic challenges and management outcomes for this rare injury.
Main Methods:
- Retrospective review of a diagnostic database from 1990 to 2012.
- Inclusion criteria: complex genital trauma.
Main Results:
- Seven cases of traumatic testicular dislocation identified (four left, one right, two bilateral).
- Commonly associated with motorcycle accidents and high-energy groin trauma.
- Diagnosis often delayed, but prompt management (reduction, orchidopexy) ensured gonadal preservation in survivors.
Conclusions:
- Traumatic testicular dislocation is rare and can be difficult to diagnose.
- High index of suspicion is crucial in patients with high-energy groin trauma.
- Timely intervention leads to excellent prognosis and testicular preservation.