부산대학교 도서관

Objective|To evaluate the epidemiological, clinical, laboratory and therapeutic features of scrotal trauma seen in the Department of Urology and Andrology of Brazzaville University Hospital, and to compare these results to the literature Patients and Methods This study included 18 patients hospitalized for scrotal trauma between January 1990 and December 2006. The parameters studied were: frequency, age, etiology, presenting symptoms, the time elapsed since the accident, the findings on clinical examination and ultrasonography, treatment and outcome. Results Scrotal trauma represented 0,4% of all hospital admissions to Brazzaville University Hospital. The mean age of the patients was 34.6 (range 9--64) years. The trauma was mainly due to traffic accidents (8 cases) and to work accidents (5 cases). The mean time elapsed between the accident and consultation was 3 days for blunt trauma and 1 hour for open trauma. The main presenting symptom was scrotal pain (n=10). Ultrasonography done in 8 patients revealed rupture of the tunica albuginea in 4, intra-testicular hematoma in 2 and hematocele in another 2 cases. Medical treatment was applied in 6 cases, while 12 patients were treated surgically by resection of the extruded testicular pulp and suturing of the tunica albuginea in 4, orchidopexy in 1, orchidectomy in 3, evacuation of the hematocele in 2 and drainage of the testicular hematoma in 2 cases. On longterm follow-up residual scrotal pain was observed in 3, oligoasthenozoo-spermia in 3, testicular atrophy in 2 and erectile dysfunction in 1 patient. Conclusion If hematocele is present, surgical exploration is mandatory. Ultrasonography can help to diagnose a rupture of the tunica albuginea, however this examination should not delay surgical treatment.