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Case Reports in Urology
Volume 2018, Article ID 7162351, 5 pages
https://doi.org/10.1155/2018/7162351
Case Report

Bilateral Traumatic Testicular Dislocation

1Cirurgia Geral do Hospital Geral de Fortaleza, Fortaleza, CE, Brazil
2Curso de Medicina da Universidade de Fortaleza and Urologista Hospital José Martiniano de Alencar, Fortaleza, CE, Brazil
3Medicina da Universidade de Fortaleza, Fortaleza, CE, Brazil
4Medicina da Unichristus, Fortaleza, CE, Brazil

Correspondence should be addressed to Ivon Teixeira de Souza; rb.moc.oohay@ariexietnovi

Received 30 January 2018; Accepted 4 April 2018; Published 13 May 2018

Academic Editor: Muhammad Z. Aslam

Copyright © 2018 Nubyhélia Maria Negreiro de Carvalho et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Traumatic testis dislocation is an uncommon condition and usually occurs after direct impact on the scrotum. We present an uncommon case of bilateral testicular dislocation caused by an automotive accident, which is the most frequently associated cause described in literature today. Although the fact that diagnosis can be made either by physical examination or with the use of basic exams such as Doppler ultrasound, it is not uncommon for cases to go undetected and diagnosed late. In this case, there was a late diagnosis, almost one year after the motorcycle accident. Despite this, studies describe preservation of spermatogenesis even after delayed surgical correction. The treatment can be made by manual reduction, but most of the cases need surgical correction. Therefore, it is always necessary to perform the complete physical examination of the polytrauma patient on the first medical exam, in order to avoid the risk of fertility loss, endocrine dysfunction, and future malignancy.