Urology: testicular rupture: practice question

A General Surgery question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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General Surgery · Urology: testicular rupture

Sample item

A footballer is kicked in the scrotum and has severe pain with a large tender scrotum. Ultrasound shows a heterogeneous testis with an interrupted tunica albuginea and an extratesticular haematocele. What is the best management?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

A. Urgent scrotal exploration with debridement and closure of the tunica

Disruption of the tunica albuginea indicates testicular rupture, which needs exploration within hours. Non-viable tissue is debrided and the tunica closed, with much better salvage when done early than when delayed.

Option by option

  • A. Urgent scrotal exploration with debridement and closure of the tunica (correct)

    Correct. Early exploration and closure of the tunica can save most testes.

  • B. Scrotal support, ice and analgesia with review

    Conservative care risks necrosis, infection and loss of the testis.

  • C. Percutaneous aspiration of the haematocele

    Aspiration does not repair the tear and risks infection.

  • D. Immediate orchidectomy without exploration

    Orchidectomy is only needed when the testis is non-viable at exploration.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

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Questions about this General Surgery question

What is the answer to this General Surgery question?

The best answer is A, Urgent scrotal exploration with debridement and closure of the tunica. Disruption of the tunica albuginea indicates testicular rupture, which needs exploration within hours.

Why is "Scrotal support, ice and analgesia with review" not the answer?

Conservative care risks necrosis, infection and loss of the testis.

Why is "Percutaneous aspiration of the haematocele" not the answer?

Aspiration does not repair the tear and risks infection.

Why is "Immediate orchidectomy without exploration" not the answer?

Orchidectomy is only needed when the testis is non-viable at exploration.

What concept does this question test?

It tests Urology: testicular rupture in General Surgery. Non-viable tissue is debrided and the tunica closed, with much better salvage when done early than when delayed.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Urology: testicular rupture?

Learn classic signs and eponyms alongside what they diagnose. Then use the flashcards and the other General Surgery questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.