845 A Case of Testicular Salvage Following Complete Capsular Rupture Due to Direct Trauma During Ju-Jistu

Abstract Background Testicular rupture refers to injury of the tunica albuginea and subsequent extrusion seminiferous tubules. It occurs usually in young men following high impact or sporting injuries. Prompt diagnosis is required, treatment time-critical avoid testicular loss. Clinical scenario A 32-year-old man presented emergency department with scrotal pain five hours after a direct blow right scrotum whilst doing Ju-Jutisu. Examination revealed tense, swollen extremely tender hemi-scrotum. An urgent ultrasound confirmed complete capsular almost circumferential superior-pole tunical defect. The patient was promptly consented for exploration +/- sided orchidectomy. Intra-operatively finding testes considerable haematoma. partial orchidectomy performed, resecting all devitalised tubules while viable testicle re-constructed combined primary apposition vaginalis flap. resulting cosmetic appearance adequate. discharged home day, antibiotics his recovery uncomplicated. At four weeks, reported no further post operative imaging reassuring. He pleased Discussion Clinicians should have index suspicion blunt trauma scrotum. Patients are frequently anxious about loss on self-image, fertility, hormonal function. This case demonstrates that prompt urological review early can prevent