Value of Ultrasound Diagnosis after Testicular Trauma.
- Author:
Ki Young KIM
1
;
Tchun Yong LEE
;
Dong Han KIM
Author Information
1. Department of Urology, College of Medicine, Hanyang University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Injuries;
Testis;
Ultrasonic diagnosis
- MeSH:
Contusions;
Diagnosis*;
Physical Examination;
Rupture;
Testis;
Ultrasonography*
- From:Korean Journal of Urology
1995;36(8):862-866
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The use of ultrasound for evaluation of blunt testicular injury allows contusion to be differentiated from rupture, and some authors advocate reserving surgical management for testicular rupture. We reviewed 22 operated cases of blunt scrotal trauma, 10 cases of them were evaluated with ultrasound preoperatively. In 8 of 10 cases, the tunica albuginea rupture was correctly diagnosed by ultrasonography but there were one false-positive and one false-negative diagnosis of rupture. Without preoperative ultrasound diagnosis, 12 cases were explorated because of suspicious testicular rupture only by physical examination. Three cases of them had intact tunica albuginea. These results suggest that the ultrasound diagnosis of blunt scrotal trauma is not sufficiently accurate to eliminate is highly sccurate, readily available.