Traumatic dislocation of the testes.

A case of bilateral inguinal dislocation of the testes in a motorcycle accident is reported and its pathogenesis is described. The injury probably results from the gasoline tank striking the perineum and the scrotum in the midline, causing upward and outward displacement of the testes and forcible herniation of the gonads through the coverings of the spermatic cord. If efforts at closed reduction are unsuccessful, management requires surgical exploration and orchiopexy. Results of semen analysis suggest that the prognosis for recovery of fertility potential after this repair of bilateral dislocation of the testes is good.