A Rare and Easily Overlooked Case of Bilateral Traumatic Testicular Dislocation and an Alternative Viewpoint on Delayed Management

Medicina (Kaunas). 2023 May 6;59(5):892. doi: 10.3390/medicina59050892.

Abstract

The incidence of traumatic testicular dislocation is rare, and it is usually overlooked in an initial diagnosis. We present a case of bilateral dislocated testes after a traffic accident that was treated via orchidopexy one week later. No testicular complications had occurred by the time of the follow-up visit. Generally, surgery is often postponed owing to a late diagnosis or another major organ injury, and the adequate timing of surgery is still under debate. We performed a review of past cases, which showed similar testicular outcomes irrespective of surgical timing. Delayed intervention may be a feasible decision after a patient's hemodynamic status is stable for surgery. To prevent delayed diagnosis, scrotal examination should not be overlooked in any patients presenting with pelvic trauma to the emergency department.

Keywords: surgery; testicular outcomes; traumatic testicular dislocation.

Publication types

  • Review
  • Case Reports

MeSH terms

  • Accidents, Traffic*
  • Delayed Diagnosis
  • Emergency Service, Hospital
  • Humans
  • Male
  • Testis* / injuries
  • Testis* / surgery

Grants and funding

This research received no external funding.