Testicular Doppler ultrasound in scrotal trauma: A diagnostic tool with potentially relevant therapeutic implications

Scrotal trauma is one of the rare causes of genital trauma. Although not usually fatal, it has many social and psychological implications, impacting the male reproductive and endocrine functions. Blunt trauma is the most frequent scrotal trauma; however, a non-negligible proportion is due to penetrating injuries. The diagnosis of blunt trauma has historically been clinical and its management relegated to exploratory surgical interventions, accompanied by a high testicular loss rate; timely diagnosis and proper treatment are critical to avoid testicular loss. Although multiple tools have been described to characterize scrotal lesions objectively, testicular Doppler ultrasound can cost-effectively provide relevant information so as to avoid unnecessary surgical interventions.