Objective: To report 31 cases and 32 testicles of testicular injuries and summarize the experience of treatment.
Methods: Thirty-one patients suffered from testicular injuries which included 26 cases of closed injuries and 5 cases of open injuries. Nine cases were treated with expectant treatment (surgical treatment were performed in 2 out of 9 cases later) and 22 cases were treated with surgical treatment directly.
Results: Twenty-five patients and 26 testicles were followed up from 7 months to 9 years,which included 9 cases of expectant treatment and 16 cases of surgical treatment. There were 2 patients with orchiatrophy in expectant treatment group and surgical treatment group respectively. No patient had testicular sclerosis and chronic pain.
Conclusion: Patients suffering from scrotal trauma or perineal trauma, might have testicular injuries simultaneously. The ultrasonic examination is preferred in these patients. Expectant treatment should be performed under the ultrasonic monitoring and some patients should be underwent operations research actively.