title: Diagnosis and management of testicular rupture after blunt scrotal trauma: a literature review.
abstract: Testicular rupture, one of the most common complications in blunt scrotal trauma, is the rupture of tunica albuginea and extrusion of seminiferous tubules. Testicular rupture is more inclined to young men, and injury mechanisms are associated with sports and motor accidents. After history taking and essential physical examination, scrotal ultrasound is the first-line auxiliary examination. MRI is also one of the vital complementary examinations to evaluate testicular rupture after blunt scrotal trauma. Surgical exploration and repair may be necessary when the diagnosis of testicular rupture is definite or suspicious. Postoperative follow-up is to monitor the relief of local symptoms and changes of testicular functions. This review sums up the literatures about testicular rupture after blunt scrotal trauma in recent 16 years and also refers some new advantages and perspectives on diagnosis and management of testicular rupture.
authors: Department of Urology, Xiangya Hospital, Central South University, 87 Xiangya Road, Kai Fu District, Changsha, 410008, China.
authors: Zhao
authors: Z
authors: Wang
authors: Department of Urology, The Second Xiangya Hospital, Central South University, 139 Ren Min Road, Fu Rong District, Changsha, 410011, China.
authors: Jin-Rui
authors: JR
authors: Yang
authors: Department of Endocrinology and Metabolism, Tianjin Medical University General Hospital, Tianjin, 300052, China.
authors: Yu-Meng
authors: YM
authors: Huang
authors: Department of Urology, Xiangya Hospital, Central South University, 87 Xiangya Road, Kai Fu District, Changsha, 410008, China.
authors: Long
authors: L
authors: Wang
authors: Department of Urology, Xiangya Hospital, Central South University, 87 Xiangya Road, Kai Fu District, Changsha, 410008, China.
authors: Long-Fei
authors: LF
authors: Liu
authors: Department of Urology, Fujian Provincial Hospital, The Teaching Hospital of Fujian Medical University, Fuzhou, 350001, China.
authors: Yong-Bao
authors: YB
authors: Wei
authors: Department of Urology, Xiangya Hospital, Central South University, 87 Xiangya Road, Kai Fu District, Changsha, 410008, China.
authors: Liang
authors: L
authors: Huang
authors: Department of Urology, Xiangya Hospital, Central South University, 87 Xiangya Road, Kai Fu District, Changsha, 410008, China.
authors: Quan
authors: Q
authors: Zhu
authors: Department of Urology, Xiangya Hospital, Central South University, 87 Xiangya Road, Kai Fu District, Changsha, 410008, China.
authors: Ming-Qiang
authors: MQ
authors: Zeng
authors: Department of Urology, Xiangya Hospital, Central South University, 87 Xiangya Road, Kai Fu District, Changsha, 410008, China. xytangzy@sina.com.
authors: Zheng-Yan
authors: ZY
authors: Tang
mesh_terms: D019468:Disease Management; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D012421:Rupture / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D012611:Scrotum / Q000293:injuries; D013737:Testis / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery; D014463:Ultrasonography / Q000379:methods; D014949:Wounds, Nonpenetrating / Q000150:complications
keywords: Magnetic resonance imaging; Scrotal trauma; Scrotoscope; Testicular rupture; Ultrasound