Post Date November, 16 2024
The testis is located in the scrotum. Due to the loose skin of the scrotum, the testis has large activity, and there is a flexible white membrane of the testis itself, the testis is not easy to be damaged, and its damage rate is lower than that of the penis and scrotum. The common cause of testicular injury is direct violence.
Early symptoms of testicular injury
1. After trauma, the testicle has severe pain, which can radiate to the lower abdomen, waist or upper abdomen, and the scrotal skin has swelling or hematoma. Painful shock may occur. Occasionally, the pain is not serious, but mainly local swelling or scrotal swelling.
2. Nausea, vomiting, painful shock.
3. Testicular tenderness is obvious, testicle swelling or boundary touch is not clear, traumatic testicular dislocation can not touch the testicle in the scrotum, and touch the testicular thing in the perineum, groin, etc., which is painful to touch.
4. During testicular torsion, the spermatic cord becomes thicker, and open injury can be seen with wounds and foreign bodies.
5. In the case of testicular dislocation, the patient can report to himself that the testicular scrotum is empty after injury, and touch a similar mass in other parts of the testicle.
How to treat male testicular injury
The male testicle is injured in a special place, so the testicle should be preserved as much as possible during treatment. Shock treatment should be carried out for shock patients with severe injury. There are several different cases of testicular injury, and different treatment methods should be adopted for different injuries.
1. Testicular contusion
Cold compress immediately after testicular contusion and local hematoma injury to reduce blood leakage. Support and fix the testicle to relieve pain. If the hematoma cannot be absorbed, it must be cut and drained. When the pain of testicular swelling can not be tolerated, the white membrane can also be cut to reduce the internal pressure of the testicle, but attention should be paid to the occurrence of coiled tube hernia.
2. Testicular dislocation
For testicular dislocation, surgical examination should be carried out to remove hematoma. For partial rupture, necrotic tissue can be removed and the white membrane of testis can be sutured. For patients with superficial dislocation of the abdomen who can be repositioned by closed manipulation, the initial surgical reposition should pay attention to the position of the spermatic cord during the reposition. For patients with testicular fixation who have not been diagnosed with testicular dislocation at the end of the injury, the channel from the outer ring to the scrotum is closed and disappears, and the adhesion of the free spermatic cord makes the spermatic cord reach enough length. For patients with testicular dislocation who have been repositioned, it is speculated that regular follow-up should be conducted after the operation to understand the testicular condition of the patient. In case of comminuted rupture or loss of blood supply, the testicles can be removed, and drainage can be placed for 1~2 days after operation, and antibiotics can be used to prevent infection.
