Traumatic Testicular Dislocation a Review of 36 Cases

WACHIRA KOCHAKARN, M.D.*, PRASART HOTRAPAWANOND,M.D.***, VORAPOT CHOONHAKLAI, M.D.**, VERASING MUANGMAN, M.D.*

Affiliation : * Division of Urology, Department of Surgery, Ramathibodi Hospital, Mahidol University, Bangkok 10400, ** Division of Urology, Rajvithi Hospital, Bangkok 10400, *** Noparat Rajthanee Hospital, Ministry of Public Health, Bangkok 10230, Thailand.

AbstractWe retrospectively reviewed 36 patients who were treated in our institutes with traumatic testicular dislocation from 1975 to 1997. The mean patient age was 25 years old (18-38). Average time to present at the emergency room was 1 hour (0.5-6). Bilateral dislocation was found in thirty cases and unilateral dislocation was found in six cases. The sites of dislocation included: 34 cases (64 testes) at superficial inguinal area, one case (one testis) at acetabular area, and one case (one testis) at the perineal area. Closed reduction under general anesthesia was successful in 14 cases, open reduction after failed closed reduction in 10 cases, open exploration and repaired testis with reposition in II cases and orchiectomy only in one case. The overall results after treatment showed the normal size and position of the testis.

Keywords : Testicular Injury, Dislocation

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