Traumatic Hematocele: Association with Rupture of the Testicle

Abstract

Ten patients with hematoceles associated with blunt trauma have been seen during the last 4 years. In 80 per cent of the cases the hematocele was caused by rupture of the testicle. Prompt early exploration, adequate débridement, primary repair of the tunical laceration and Penrose drainage resulted in a salvage rate of 75 per cent.

Management of 53 Cases of Testicular Trauma

“…Our total orchiectomy rate of 8/57 (14%) corresponds to the results reported previously: Cass [4] 9%, Gross [6] 20%, Vaccaro et al [8] 20% and McAninch et al [7] 26%, due to early exploration.…”

“…Patients, therefore, have discomfort in walking, sitting and driving a car for several weeks. Alter natively, early exploration, irrespective of the testicle con tusion or rupture, reduced the orchiectomy rate on 9 to 26% [4,[6][7][8], shortened hospitalization to less than 5 days…”

Unilateral Traumatic Hematocele: An Unusual Presentation of Bilateral Testicular Rupture

“…Absence of pain and physical findings on one side of the scrotum in cases of bilateral testicular injury is unusual but does not rule out a rupture (4,5). Bilateral testicular rupture has never been described in the literature in a patient that presented with unilateral hematocele.…”

Stumpfes Hodentrauma - wann konservative, wann operative Behandlung?

“…Für einen Teil der Autoren ist der Nachweis einer Hämatozele ± einer Blutansammlung um den Hoden ± eine Indikation zur chirurgischen Exploration des Hodens, da das sonographische Bild einer Hämatozele wegen der schlechteren Beurteilbarkeit des Hodens selbst in einem hohen Prozentsatz dazu führt, dass eine Ruptur übersehen wird [2,4].…”

“…Der Anteil an Hodenrupturen bei Vorliegen einer Hämatozele liegt nach Angaben einiger Autoren zwischen 50 und 80 % [4].…”