Scrotal trauma in childhood
Bautista Casasnovas, A.; Alvez González, F.; Iglesias Diz, J.L.; Víllanueva Jeremías, A.; García García, E.; Leis Trabazo, R.; Varela Cives, R.
Anales Espanoles de Pediatria 37(6): 477-480
1992
ISSN/ISBN: 0302-4342 PMID: 1482019 Document Number: 389938
Scrotal trauma has increase in frequency during recent years, largely as the result of sporting activities, physical aggressions and road accidents. Its importance lies in the likelihood of associated lesions of the testis and the spermatic cord. We report 41 cases of scrotal trauma. Thirty-seven cases were non-penetrating and four were penetrating (including a case of traumatic rupture of the testis). Nonsurgical treatment was applied in 30 cases (73.1%) and surgical treatment in 11 (26.8%). The diagnostic techniques employed included ultrasonography in 19 cases, gammagraphy in 10 cases, Doppler-effect ultrasonography in 2 cases and CAT in 2 cases. The decision to operate should be based on the clinical findings. Follow-up studies over 8-60 months were satisfactory in all cases, with no cases of testicular atrophy detected.