Traumatic dislocation of the testis. Report of three cases.

Citation
P. Gimbergues et al., Traumatic dislocation of the testis. Report of three cases., PROG UROL, 9(2), 1999, pp. 322-326
Citations number
15
Categorie Soggetti
Urology & Nephrology
Journal title
PROGRES EN UROLOGIE
ISSN journal
11667087 → ACNP
Volume
9
Issue
2
Year of publication
1999
Pages
322 - 326
Database
ISI
SICI code
1166-7087(199904)9:2<322:TDOTTR>2.0.ZU;2-A
Abstract
The authors report three cases of traumatic dislocation of the testis, Each case concerned a young patient, victim of a motorbike accident with direct trauma to the perineum and scrotum oil the reservoir. Preoperative radiolo gical assessment consisted of ultrasound, computed tomography, or even magn etic resonance imaging, depending on the case. Surgical exploration reveale d 3 traumatic dislocations of the testis, including one with associated tor sion of the spermatic cord. One case also presented fracture of the contral ateral testis, which was nor dislocated. Each case was repaired by repositi oning of the testis in the scrotum. The fractured testis could not be prese rved A review of the literature confirmed the rarity of these traumatic les ions. Dislocations are usually inguinal, sometimes bilateral, and can be ec topic. Spermatic cord lesions may also be associated The authors define the place of radiological assessment, which can guide the diagnosis and therap eutic strategy Surgical exploration allowing assessment of the lesions, is required in every case. Repositioning of the testis in the scrotum ensures cure when the testis is still viable.