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Intratesticular hematoma after blunt scrotal trauma: a case series and algorithm-based approach to management.

Bowen DK, Gonzalez CM - Cent European J Urol (2014)

Bottom Line: We present our experience with intratesticular hematoma (ITH) without rupture of the tunica albuginea following blunt scrotal trauma and present an algorithm for management.Time from the incident to presentation ranged from 5 hours to 4 days.Two patients underwent surgical exploration and all patients had resolution of pain within one to two days.

View Article: PubMed Central - PubMed

Affiliation: Northwestern University, Department of Urology, Chicago, United States.

ABSTRACT
We present our experience with intratesticular hematoma (ITH) without rupture of the tunica albuginea following blunt scrotal trauma and present an algorithm for management. We reviewed the charts of 3 patients who presented between 2006 and 2013 with this finding. Time from the incident to presentation ranged from 5 hours to 4 days. All patients underwent at least one scrotal ultrasound reviewed by the same urologist. Two patients underwent surgical exploration and all patients had resolution of pain within one to two days. Management of ITH should be centered on the patient's pain severity as well as serial ultrasound findings.

No MeSH data available.


Related in: MedlinePlus

Algorithm for Management of ITH.
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Figure 0005: Algorithm for Management of ITH.

Mentions: Based on our experience and on a review of the literature, we propose a clinical algorithm for ITH without TA rupture (Figure 5). A patient with mild to moderate pain and a stable ITH on serial ultrasound can be safely observed. Serial scrotal ultrasound should be performed within the first 72 hours following blunt trauma. However, if a patient has significant pain or evidence of a large and/or expanding ITH on serial ultrasound, scrotal exploration should be considered.


Intratesticular hematoma after blunt scrotal trauma: a case series and algorithm-based approach to management.

Bowen DK, Gonzalez CM - Cent European J Urol (2014)

Algorithm for Management of ITH.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4310892&req=5

Figure 0005: Algorithm for Management of ITH.
Mentions: Based on our experience and on a review of the literature, we propose a clinical algorithm for ITH without TA rupture (Figure 5). A patient with mild to moderate pain and a stable ITH on serial ultrasound can be safely observed. Serial scrotal ultrasound should be performed within the first 72 hours following blunt trauma. However, if a patient has significant pain or evidence of a large and/or expanding ITH on serial ultrasound, scrotal exploration should be considered.

Bottom Line: We present our experience with intratesticular hematoma (ITH) without rupture of the tunica albuginea following blunt scrotal trauma and present an algorithm for management.Time from the incident to presentation ranged from 5 hours to 4 days.Two patients underwent surgical exploration and all patients had resolution of pain within one to two days.

View Article: PubMed Central - PubMed

Affiliation: Northwestern University, Department of Urology, Chicago, United States.

ABSTRACT
We present our experience with intratesticular hematoma (ITH) without rupture of the tunica albuginea following blunt scrotal trauma and present an algorithm for management. We reviewed the charts of 3 patients who presented between 2006 and 2013 with this finding. Time from the incident to presentation ranged from 5 hours to 4 days. All patients underwent at least one scrotal ultrasound reviewed by the same urologist. Two patients underwent surgical exploration and all patients had resolution of pain within one to two days. Management of ITH should be centered on the patient's pain severity as well as serial ultrasound findings.

No MeSH data available.


Related in: MedlinePlus