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Testicular Rupture Associated With an Unconventional Mechanism of Action.
Matthew G Blalock1, Kaitlyn M Flugga1, Benjamin Reiswig1
1Department of Sports Medicine, Edward Via College of Osteopathic Medicine, Auburn, USA.
Cureus
|July 14, 2025
Summary
Blunt testicular trauma, though rare in pole vaulting, can cause rupture. Prompt diagnosis and surgical repair are crucial for preserving testicular function and preventing complications like infertility.
Area of Science:
- Urology
- Trauma Surgery
- Emergency Medicine
Background:
- Testicular and scrotal trauma are classified as blunt or penetrating, with penetrating injuries more common.
- Blunt testicular injuries typically result from motor vehicle accidents or contact sports lacking protective gear.
Observation:
- A 23-year-old male presented with left testicular pain and swelling after being struck by a fiberglass pole during pole vaulting.
- Physical examination revealed scrotal edema and ecchymosis. Ultrasound indicated a hydrocele with debris and testicular structural changes, suggesting rupture.
Findings:
- Surgical exploration confirmed a testicular rupture, which was repaired with partial resection of seminiferous tubules.
- Post-operative follow-up showed successful healing, and semen analysis at six weeks yielded normal results.
Implications:
- This case highlights an unusual mechanism for testicular rupture in track and field.
- Rapid diagnosis and surgical intervention are critical for preventing orchiectomy and preserving fertility.
- Clinicians must maintain a high suspicion for testicular rupture, even with atypical injury mechanisms.
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