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Testicular trauma

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Updated 2024 EAU guidelines for the diagnosis and management of testicular trauma.

Guidelines

Key sources

The following summarized guidelines for the evaluation and management of testicular trauma are prepared by our editorial team based on guidelines from the European Association of Urology (EAU 2024), the British Association of Urological Surgeons (BAUS 2018), and the American Urological Association (AUA 2014).
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Diagnostic investigations

Clinical examination: as per BAUS 2018 guidelines, stabilize the patient with testicular trauma and administer adequate analgesia. Examine the genitalia once the patient is stable ensuring that the degree of swelling is documented compared to the contralateral side.
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  • Ultrasound

Surgical interventions

Indications for surgery: as per EAU 2024 guidelines, explore the injured testis in all cases of testicular rupture and in patients with inconclusive ultrasound findings.
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