Clinical Observation on Scrotal Trauma

Kim, Cheol Min; Na, Hyun Je

Abstract

We have reported 50 cases of scrotal trauma during the period from Feb. l, l982 to Apr. 1. 1985. All of them were evaluated by careful physical examination and ultrasound. And then all suspicious cases of testicular rupture and severe scrotal swelling were explored surgically as soon as possible. The results were as follows: 1. Kick or blow was the most frequent cause of the injury (78%) and the next was gunshot injury (12%). 2. The incidence of testicular rupture in patients with scrotal trauma was 38%. 3. The rate of orchiectomy in the cases of early exploration was 16.7% and 61.5% in delay exploration. 4. Ultrasound examination was helpful in identifying rapidly those patients who needed surgical repair. Homogenous echoes were produced by normal testicular contents, whereas areas of disruption and hemorrhage appeared dense clusters of echoes. Accurate diagnostic rates of testicular rupture and scrotal hematoma by scrotal sonography were 9l.7% (11/l2) and 95% (19/20). 5. The complications including epididymitis, hydrocele scrotal abscess and testicular atrophy occurred 38.9% in conservative treatment, l6.7% in early exploration and 25% in delay exploration. 6. Early exploration for scrotal trauma decreased not only the change of the testicular loss but also complications.