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Diagnosis and management of testicular rupture after blunt scrotal trauma: a literature review

  • Urology - Review
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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.

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Abbreviations

US:

Ultrasonography

PPV:

Positive predictive value

NPV:

Negative predictive value

CEUS:

Contrast-enhanced ultrasonography

MRI:

Magnetic resonance imaging

WI:

Weighted imagings

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Authors’ Contribution

Zhao Wang, Long Wang, Long-fei Liu and Yong-bao Wei were involved in the literature search. Zheng-yan Tang and Jin-rui Yang were involved in study design. Zhao Wang, Liang Huang and Quan Zhu were involved in data collection. Zhao Wang, Quan Zhu and Ming-qiang Zeng were involved in data analysis. Zheng-yan Tang and Jin-rui Yang were involved in data interpretation. Zhao Wang contributed to writing. Zheng-yan Tang and Yu-meng Huang were involved in critical revision.

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Authors and Affiliations

  1. Department of Urology, Xiangya Hospital, Central South University, 87 Xiangya Road, Kai Fu District, Changsha, 410008, China

    Zhao Wang, Long Wang, Long-fei Liu, Liang Huang, Quan Zhu, Ming-qiang Zeng & Zheng-yan Tang

  2. Department of Urology, The Second Xiangya Hospital, Central South University, 139 Ren Min Road, Fu Rong District, Changsha, 410011, China

    Jin-rui Yang

  3. Department of Endocrinology and Metabolism, Tianjin Medical University General Hospital, Tianjin, 300052, China

    Yu-meng Huang

  4. Department of Urology, Fujian Provincial Hospital, The Teaching Hospital of Fujian Medical University, Fuzhou, 350001, China

    Yong-bao Wei

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  1. Zhao Wang
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Correspondence to Zheng-yan Tang.

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Wang, Z., Yang, Jr., Huang, Ym. et al. Diagnosis and management of testicular rupture after blunt scrotal trauma: a literature review. Int Urol Nephrol 48, 1967–1976 (2016). https://doi.org/10.1007/s11255-016-1402-0

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  • DOI: https://doi.org/10.1007/s11255-016-1402-0

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