[Does scrotal blunt trauma require surgical treatment?].

Prog Urol · Sep 2003

Review

[Does scrotal blunt trauma require surgical treatment?].

Blunt trauma to the scrotum is increasingly frequent and is mainly due to motor vehicle accidents, especially with direct trauma from a motorbike petrol tank or falling astride a bicycle frame. The surgical exploration of these cases of trauma remains a controversial issue. However, according to the authors, the presence of haematocele on clinical examination justifies systematic early surgical exploration, which shortens the patient's length of hospital stay allowing more rapid return to work. Ultrasound is only really indicated in the case of scrotal trauma without haematocele, looking for rupture of the tunica albuginea or intratesticular haematoma.

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- Philippe Paparel, Lionel Badet, Eric Voiglio, Marc Colombel, Olivier Rouviere, Jean-Louis Caillot, and Xavier Martin.
- Service d'Urologie et de Chirurgie de la transplantation, Hôpital Edouard-Herriot, Lyon, France. paparelphilippe@aol.com
- Prog Urol. 2003 Sep 1;13(4):564-8.
AbstractBlunt trauma to the scrotum is increasingly frequent and is mainly due to motor vehicle accidents, especially with direct trauma from a motorbike petrol tank or falling astride a bicycle frame. The surgical exploration of these cases of trauma remains a controversial issue. However, according to the authors, the presence of haematocele on clinical examination justifies systematic early surgical exploration, which shortens the patient's length of hospital stay allowing more rapid return to work. Ultrasound is only really indicated in the case of scrotal trauma without haematocele, looking for rupture of the tunica albuginea or intratesticular haematoma.

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[Does scrotal blunt trauma require surgical treatment?].

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