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Managing traumatic testicular dislocations: what we know after two centuries
Sentilnathan Subramaniam1, Muhammad Khairil Ab Khalil2, Jasiah Zakaria2
1Department of General Surgery, Queen Elizabeth Hospital, Ministry of Health Malaysia, Kota Kinabalu, Sabah, Malaysia.
BMJ Case Reports
|November 5, 2020
Summary
Traumatic testicular dislocation (TTD) is a rare injury from blunt scrotal trauma. Prompt surgical intervention can successfully reposition the testes, preserving function and preventing atrophy.
Area of Science:
- Urology
- Trauma Surgery
Background:
- Traumatic testicular dislocation (TTD) is an uncommon outcome of blunt scrotal trauma.
- This condition involves the displacement of one or both testes from the scrotum into adjacent anatomical structures.
Observation:
- A 21-year-old male presented with inguinal pain post-motorcycle accident.
- Physical examination revealed absent testes in the scrotum, with bilateral inguinal swellings.
- Ultrasound confirmed testicular viability and location in the superficial inguinal pouch.
Findings:
- The patient underwent emergent surgical reduction and orchidopexy.
- He was discharged the following day with no signs of testicular dysfunction or atrophy at follow-up.
- A review of historical TTD cases was conducted.
Implications:
- Early diagnosis and surgical management are crucial for successful outcomes in TTD.
- This case highlights the importance of prompt intervention to prevent long-term complications.
- Understanding the historical context of TTD aids in refining current treatment strategies.
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