{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T10:57:39Z","timestamp":1775473059981,"version":"3.50.1"},"reference-count":24,"publisher":"Medical Association of Zenica-Doboj","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicinski Glasnik"],"published-print":{"date-parts":[[2020,10,9]]},"abstract":"<jats:p>&amp;lt;p&amp;gt;&amp;lt;strong&amp;gt;Aim&amp;lt;\/strong&amp;gt; &amp;lt;br \/&amp;gt;Scrotal bruises are quite frequent injuries affecting young subjects, with psychological repercussions on body image and fertility. The interest of ultrasound in the context of the emergency remains controversial. The aim of our study was to investigate clinical, ultrasonographic and operative features of scrotal contusions, and to evaluate the contribution of ultrasound in the description of traumatic lesions.&amp;lt;br \/&amp;gt;&amp;lt;strong&amp;gt;Methods&amp;lt;\/strong&amp;gt; &amp;lt;br \/&amp;gt;In this retrospective and descriptive study 71 scrotal contusions operated from December 2015 to April 2020 were collected. We retrospectively analysed 26 patients (aged between 14 and 79 years) of 71 who sustained a scrotal ultrasound, where the latter was positive. The primary endpoint was albuginea rupture, whose concordance between ultrasound and surgery was assessed using the Kappa method. Positive and negative predictive values, sensitivity and specificity for the presence of albuginea rupture were evaluated for a set of ultrasound data: scrotal haematoma, haematocele, regularity of testicular contours, testicular fracture (specificity (93%), testicular haematoma, and Doppler signal intensity.&amp;lt;br \/&amp;gt;&amp;lt;strong&amp;gt;Results &amp;lt;br \/&amp;gt;&amp;lt;\/strong&amp;gt;Surgical treatment was necessary in 26 (37%) patients; only six orchiectomy were performed. Surgical exploration should&amp;lt;br \/&amp;gt;be performed if haematocele is found in the genital examination without any ultrasound complement.&amp;lt;br \/&amp;gt;&amp;lt;strong&amp;gt;Conclusion&amp;lt;\/strong&amp;gt; &amp;lt;br \/&amp;gt;The ultrasonography is useful, detailed and accurate when the haematocele is not clinically evident.&amp;amp;nbsp;&amp;lt;\/p&amp;gt;<\/jats:p>","DOI":"10.17392\/1286-21","type":"journal-article","created":{"date-parts":[[2024,4,21]],"date-time":"2024-04-21T10:28:16Z","timestamp":1713695296000},"page":"128-132","source":"Crossref","is-referenced-by-count":2,"title":["Scrotal trauma: interest of preoperative ultrasound in the prediction of the rupture of the tunica albuginea"],"prefix":"10.17392","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0215-4698","authenticated-orcid":false,"given":"Stefano","family":"Manno","sequence":"first","affiliation":[{"name":"\u201cPugliese-Ciaccio\u201d Hospital of Catanzaro","place":["Catanzaro,Italy"],"department":["Urology Unit"]},{"name":"University of Catanzaro","place":["Catanzaro,Italy"],"department":["Urology Unit \u201cMagna Graecia\u201d"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Cicione","sequence":"additional","affiliation":[{"name":"University Hospital \u201cOspedale Sant\u2019Andrea\u201d","place":["Rome,Italy"],"department":["Department of Urology"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lorenzo","family":"Bagal\u00e0","sequence":"additional","affiliation":[{"name":"\u201cMagna Graecia\u201d University of Catanzaro","place":["Catanzaro,Italy"],"department":["Urology Unit"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Catrical\u00e0","sequence":"additional","affiliation":[{"name":"\u201cPugliese-Ciaccio\u201d Hospital of Catanzaro","place":["Catanzaro,Italy"],"department":["Urology Unit"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Piero","family":"Ronchi","sequence":"additional","affiliation":[{"name":"University Hospital \u201cOspedale Riuniti\u201d","place":["Ancona,Italy"],"department":["Department of Urology"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simona","family":"Tiburzi","sequence":"additional","affiliation":[{"name":"\u201cPugliese-Ciaccio\u201d Hospital","place":["Catanzaro,Italy"],"department":["Department of Anaesthesia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolina","family":"Giannace","sequence":"additional","affiliation":[{"name":"University \u201dCattolica del Sacro Cuore\u201d","place":["Rome,Italy"],"department":["Public Health Institute, Section of Forensic Medicine"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucio","family":"Dell\u2019Atti","sequence":"additional","affiliation":[{"name":"University Hospital \u201cOspedale Riuniti\u201d","place":["Ancona,Italy"],"department":["Department of Urology"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"49509","published-online":{"date-parts":[[2020,10,9]]},"reference":[{"key":"ref1","first-page":"993","article-title":"Sonography of testicular trauma","author":"RJeffreyR","year":"1983","unstructured":"Jeffrey RB, Laing FC, Hricak H, McAninch JW. So-\nnography of testicular trauma. AJR Am J Roentgenol \n1983; 141:993-5.","journal-title":"AJR Am J Roentgenol"},{"key":"ref2","first-page":"512","article-title":"Imaging of traumatic injuries to the scrotum and penis","author":"RNicolaR","year":"2014","unstructured":"Nicola R, Carson N, Dogra VS. Imaging of trauma-\ntic injuries to the scrotum and penis. AJR Am J Ro-\nentgenol 2014; 202:W512-20.","journal-title":"AJR Am J Roentgenol"},{"issue":"6","key":"ref3","first-page":"67","article-title":"Scrotal trauma: A case report and review of the literature","author":"HRandhawaH","year":"2019","unstructured":"Randhawa H, Blankstein U, Davies T. Scrotal trau-\nma: A case report and review of the literature. Can \nUrol Assoc J 2019; 13(6 Suppl4):S67-71.","journal-title":"Can Urol Assoc J"},{"issue":"4","key":"ref4","doi-asserted-by":"publisher","first-page":"879","DOI":"10.2214\/ajr16547676986","article-title":"Sonography in patients with gunshot wounds of the scrotum: imaging findings and their value","author":"TLearchT","year":"1995 Oct","unstructured":"Learch TJ, Hansch LP, Ralls PW. Sonography in pa-\ntients with gunshot wounds of the scrotum: imaging \nfindings and their value. AJR Am J Roentgenol. 1995 \nOct;165(4):879-83. doi: 10.2214\/ajr.165.4.7676986. \nPMID: 7676986.","journal-title":"AJR Am J Roentgenol"},{"key":"ref5","first-page":"175","article-title":"Use of ultrasonography for the diagnosis of testicular injuries in blunt scrotal trauma","author":"JBuckleyJ","year":"2006","unstructured":"Buckley JC, McAninch JW. Use of ultrasonography \nfor the diagnosis of testicular injuries in blunt scrotal \ntrauma. J Urol 2006; 175:175-8.","journal-title":"J Urol"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"52","DOI":"10.1016\/j.urology.2007.09.014","article-title":"Accuracy of ultrasonography in diagnosis of testicular rupture after blunt scrotal trauma","author":"GGuichardG","year":"2008","unstructured":"Guichard G, El Ammari J, Del Coro C, Cellarier D, \nLoock PY, Chabannes E, Bernardini S, Bittard H, \nKleinclauss F. Accuracy of ultrasonography in dia-\ngnosis of testicular rupture after blunt scrotal trau-\nma. Urology 2008; 71:52-6.","journal-title":"Urology"},{"key":"ref7","first-page":"1617","article-title":"Role of US in testicular and scrotal trauma","author":"SBhattS","year":"2008","unstructured":"Bhatt S, Dogra VS. Role of US in testicular and scro-\ntal trauma. Radiographics 2008; 28:1617-29.","journal-title":"Radiographics"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1148\/radiol.14132718","article-title":"Differential diagnosis of nonpalpable testicular lesions: qualitative and quantitative contrast-enhanced US of benign and malignant testicular tumors","author":"AIsidoriA","year":"2014","unstructured":"Isidori AM, Pozza C, Gianfrilli D, Giannetta E, \nLemma A, Pofi R, Barbagallo F, Manganaro L, Mar-\ntino G, Lombardo F, Cantisani V, Franco G, Lenzi \nA. Differential diagnosis of nonpalpable testicular \nlesions: qualitative and quantitative contrast-enhan-\nced US of benign and malignant testicular tumors. \nRadiology 2014; 273:606-18.","journal-title":"Radiology"},{"key":"ref9","first-page":"255","article-title":"Technology meets tradition: CO 2 laser circumcision versus conventional surgical technique","author":"PRonchiP","year":"2020","unstructured":"Ronchi P, Manno S, Dell'Atti L. Technology meets \ntradition: CO 2 laser circumcision versus conventional \nsurgical technique. Res Rep Urol 2020; 16:255-60.","journal-title":"Res Rep Urol"},{"key":"ref10","first-page":"226","article-title":"Guideline of guidelines: a review of urological trauma guidelines","author":"DBrykD","year":"2016","unstructured":"Bryk DJ, Zhao LC. Guideline of guidelines: a re-\nview of urological trauma guidelines. BJU Int 2016; \n117:226-34.","journal-title":"BJU Int"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1097\/00005373-199508000-00013","article-title":"External genitalia gunshot wounds: a ten-year experience with fifty-six cases","author":"SBrandesS","year":"1995","unstructured":"Brandes SB, Buckman RF, Chelsky MJ, Hanno PM. \nExternal genitalia gunshot wounds: a ten-year experi-\nence with fifty-six cases. J Trauma 1995; 39:266-71.","journal-title":"J Trauma"},{"issue":"1","key":"ref12","first-page":"141","article-title":"Testicular Trauma. 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Med J Aust \n1995; 163:242-4.","journal-title":"Med J Aust"},{"key":"ref15","first-page":"885","article-title":"Lower genitourinary trauma in modern warfare: the experience from civil violence in Iraq","author":"Al-Azzawi IsKoraitimAl-Azzawi Is","year":"2014","unstructured":"Al-Azzawi IS, Koraitim MM. Lower genitourinary \ntrauma in modern warfare: the experience from civil \nviolence in Iraq. Injury 2014; 45:885-9.","journal-title":"Injury"},{"key":"ref16","first-page":"521","article-title":"Traumatic dislocation of testis","author":"VNagarajanV","year":"1983","unstructured":"Nagarajan VP, Pranikoff K, Imahori SC, Rabinowitz \nR. Traumatic dislocation of testis. Urology 1983; \n22:521-4.","journal-title":"Urology"},{"key":"ref17","first-page":"528","article-title":"Testicular injuries","author":"ACassA","year":"1991","unstructured":"Cass AS, Luxenberg M. Testicular injuries. Urology \n1991; 37:528-30.","journal-title":"Urology"},{"key":"ref18","first-page":"1967","article-title":"Diagnosis and management of testicular rupture after blunt scrotal trauma: a literature review","author":"ZWangZ","year":"2016","unstructured":"Wang Z, Yang JR, Huang YM, Wang L, Liu LF, Wei \nYB, Huang L, Zhu Q, Zeng MQ, Tang ZY. Diagno-\nsis and management of testicular rupture after blunt \nscrotal trauma: a literature review. Int Urol Nephrol \n2016; 48:1967-1976.","journal-title":"Int Urol Nephrol"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"382","DOI":"10.1007\/s00345-004-0425-9","article-title":"Magnetic resonance imaging and ultrasound evaluation of penile and testicular masses","author":"EAndipaE","year":"2004","unstructured":"Andipa E, Liberopoulos K, Asvestis C. Magnetic re-\nsonance imaging and ultrasound evaluation of penile \nand testicular masses. World J Urol 2004; 22:382-91.","journal-title":"World J Urol"},{"key":"ref20","first-page":"211","article-title":"Trauma to male genital organs: a 10-year review of 156 patients, including 118 treated by surgery","author":"SLeeS","year":"2008","unstructured":"Lee SH, Bak CW, Choi MH, Lee HS, Lee MS, Yoon \nSJ. Trauma to male genital organs: a 10-year review \nof 156 patients, including 118 treated by surgery. \nBJU Int 2008; 101:211-5.","journal-title":"BJU Int"},{"key":"ref21","first-page":"419","article-title":"Magnetic resonance imaging of scrotal diseases: when it makes the difference","author":"VMugliaV","year":"2002","unstructured":"Muglia V, Tucci S Jr, Elias J Jr, Trad CS, Bilbey \nJ, Cooperberg PL. Magnetic resonance imaging of \nscrotal diseases: when it makes the difference. Uro-\nlogy 2002; 59:419-23."},{"key":"ref22","first-page":"865","article-title":"Amazing result of Nivolumab in a patient with multiple carcinomas","author":"SMannoS","year":"2019","unstructured":"Manno S, Cicione A, Dell'Atti L, Giudice TD. Ama-\nzing result of Nivolumab in a patient with multiple \ncarcinomas. J BUON 2019; 24:865-867.","journal-title":"J BUON"},{"key":"ref23","first-page":"1546","article-title":"Usefulness of preoperative ultrasound for the evaluation of testicular rupture in the setting of scrotal gunshot wounds","author":"RPowersR","year":"2018","unstructured":"Powers R, Hurley S, Park E, McArdle B, Vidal P, \nPsutka SP, Hollowell CMP. Usefulness of preopera-\ntive ultrasound for the evaluation of testicular rup-\nture in the setting of scrotal gunshot wounds. J Urol \n2018; 199:1546-51.","journal-title":"J Urol"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1016\/j.urology.2016.04.025","article-title":"Role of ultrasonography for testicular injuries in penetrating scrotal trauma","author":"GChurukantiG","year":"2016","unstructured":"Churukanti GR, Kim A, Rich DD, Schuyler KG, La-\nvien GD, Stein DM, Siddiqui MM. Role of ultraso-\nnography for testicular injuries in penetrating scrotal \ntrauma. Urology 2016; 95:208-12.","journal-title":"Urology"}],"container-title":["Medicinski Glasnik"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/medicinskiglasnik.ba\/article\/85\/pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/medicinskiglasnik.ba\/article\/85\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T09:44:18Z","timestamp":1775468658000},"score":1,"resource":{"primary":{"URL":"https:\/\/medicinskiglasnik.ba\/article\/id\/238\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,10,9]]},"references-count":24,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2020,10,9]]},"published-print":{"date-parts":[[2020,10,9]]}},"URL":"https:\/\/doi.org\/10.17392\/1286-21","archive":["Internet Archive"],"relation":{},"ISSN":["1840-0132","1840-0132"],"issn-type":[{"value":"1840-0132","type":"electronic"},{"value":"1840-0132","type":"print"}],"subject":[],"published":{"date-parts":[[2020,10,9]]}}}