Scrotal trauma: interest of preoperative ultrasound in the prediction of the rupture of the tunica albuginea

Manno, Stefano; Cicione, Antonio; Bagalà, Lorenzo; Catricalà, Antonio; Ronchi, Piero; Tiburzi, Simona Paola; Giannace, Carolina; Dell’Atti, Lucio

doi:10.17392/1286-21

Cited by 2 publications

(3 citation statements)

References 7 publications

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“…Preservation of the tunica albuginea plays a crucial role in the management of testicular trauma. Testicular rupture is defined as disruption of the tunica albuginea, and surgical intervention is usually recommended in these cases [ 61 – 64 ]. The tunica albuginea is normally visualized as a smooth echogenic line on ultrasonography, and its disruption indicates testicular rupture [ 1 , 59 , 61 , 64 , 65 ].…”

Section: Introductionmentioning

confidence: 99%

“…Testicular rupture is defined as disruption of the tunica albuginea, and surgical intervention is usually recommended in these cases [ 61 – 64 ]. The tunica albuginea is normally visualized as a smooth echogenic line on ultrasonography, and its disruption indicates testicular rupture [ 1 , 59 , 61 , 64 , 65 ]. Figure 15 presents representative images depicting testicular trauma.…”

Section: Introductionmentioning

confidence: 99%

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Point-of-care ultrasonography for the diagnosis and manual detorsion of testicular torsion

Hosokawa,

Tanami,

Sato

et al. 2023

J Med Ultrasonics

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Testicular torsion is a urological emergency caused by the loss of testicular tissue due to ischemic damage. Rapid diagnosis and urgent treatment play a crucial role in the management of testicular torsion. Manual detorsion can be performed at the bedside, thereby reducing the duration of ischemia. Recent studies have reported the use of point-of-care ultrasonography for diagnosing testicular torsion; however, no review article has focused on the ultrasonographic findings pertaining to manual detorsion. This review describes the diagnosis of testicular torsion and the ultrasonographic indications for manual detorsion. Spermatic cord twisting or the whirlpool sign, absence of or decreased blood flow within the affected testis, abnormal testicular axis, abnormal echogenicity, and enlargement of the affected testis and epididymis due to ischemia are the sonographic findings associated with testicular torsion. The following findings are considered indications for manual detorsion: direction of testicular torsion, i.e., inner or outer direction (ultrasonographic accuracy of 70%), and the degree of spermatic cord twist. The following sonographic findings are used to determine whether the treatment was successful: presence of the whirlpool sign and the degree and extent of perfusion of the affected testis. Misdiagnosis of the direction of manual detorsion, a high degree of spermatic cord twisting and insufficient detorsion, testicular compartment syndrome, and testicular necrosis were found to result in treatment failure. The success of manual detorsion is determined based on the symptoms and sonographic findings. Subsequent surgical exploration is recommended in all cases, regardless of the success of manual detorsion.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Point-of-care ultrasonography for the diagnosis and manual detorsion of testicular torsion

Hosokawa,

Tanami,

Sato

et al. 2023

J Med Ultrasonics

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show abstract

“…They cause progressive, often painless scrotal enlargement [ 120 , 122 ]. However, in some cases, the tunica albuginea may rupture, causing intraparenchymal hemorrhage and a rapid increase in scrotal size [ 123 ], and edema and pain may develop quickly in the scrotal area, often resulting from inflammation rather than being directly caused by the tumor [ 76 ].…”

Section: Differential Diagnosis Of Progressive Scrotal Enlargementmentioning

confidence: 99%

Diagnostic Approach to Equine Testicular Disorders

Waqas,

Arroyo,

Tibary

2024

Veterinary Sciences

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Management of breeding stallions is crucial to equine reproduction. The longevity of the breeding career is the ultimate objective, whether the stallion is used for natural cover or for semen collection and artificial insemination. Stud farm veterinarians should be aware of the techniques used to evaluate testicular function and the diagnostic approach to testicular disorders in cases of emergency. This paper presents the clinical methods used to evaluate testicular health, including palpation, ultrasonography, biopsy, and fine-needle aspiration. The discussion of testicular disorders is broken down into four categories: congenital disorders (cryptorchidism, monorchidism, and testicular hypoplasia), differential diagnosis of scrotal enlargement, differential diagnosis of causes of progressive testicular enlargement, and differential diagnosis of testicular asymmetry or reduction in size with an emphasis on testicular degeneration. The sudden increase in testicular size is often accompanied by severe clinical signs and is a major cause for referral of stallion for surgery. Testicular disorders are illustrated with clinical cases seen by the authors.

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Scrotal trauma: interest of preoperative ultrasound in the prediction of the rupture of the tunica albuginea

Cited by 2 publications

References 7 publications

Point-of-care ultrasonography for the diagnosis and manual detorsion of testicular torsion

Point-of-care ultrasonography for the diagnosis and manual detorsion of testicular torsion

Diagnostic Approach to Equine Testicular Disorders

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