Медицинская и хирургическая урология
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Diagnosis and Management of Testicular Injuries

Nikolaos Papoutsoglou and Thiruchelvam N

Testicular injuries are seldom because of the mobility of the testes and their anatomical position between the thighs, which offers them protection. They represent only a small percentage of traumatic injuries of the genitourinary tract. Etiologically we can categorize testicular trauma in blunt or penetrating. Treatment can be conservative or surgical. Significant haematocele indicates rupture of the tunica vaginalis testis and should be treated with surgical exploration and repair. Treatment decision can be made with the help of real time ultrasonography or sometimes MRI and CT-scans of the testes. Hormonal function remains in most of the cases normal but hormone status should be controlled in complicated cases, which affect fertility and could require hormone replacement.