How is a ruptured testicle treated?

Aug 24, 2021 Source: Cainiu Health

Dr. Tan Bo

Introduction

1. Undergo scrotal ultrasound or CT examination at the nearest hospital. 2. Once diagnosed, immediate surgical exploration and treatment are recommended to evacuate hematoma from the testis and scrotum. 3. If testicular fragmentation is severe, orchiectomy may be performed—especially in patients without fertility requirements. However, if feasible, testicular repair should be prioritized over removal. 4. Postoperatively, closely monitor the scrotum for signs of hematoma formation.

I. In cases of testicular trauma or similar incidents—when testicular rupture is suspected—the patient should immediately seek evaluation at the nearest hospital. Scrotal ultrasound or CT imaging should be performed to confirm whether testicular rupture has occurred, assess its severity, and determine whether there is an open scrotal wound or retained foreign bodies.

II. Once diagnosis is confirmed, prompt surgical exploration and treatment are recommended. During surgery, hematomas within the testis and scrotum should be evacuated, any foreign material removed, and the testicular tissue carefully examined and appropriately repaired.

III. If the rupture is extensive and the patient has no desire for future fertility, orchiectomy (removal of the ruptured testicle) may be considered. However, whenever feasible, testicular repair should be prioritized over orchiectomy, except in exceptional circumstances.

IV. Postoperatively, monitor for scrotal hematoma formation and secondary testicular atrophy. Additionally, serum sex hormone profiling and routine semen analysis should be performed to further evaluate residual testicular function following injury.

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