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SCROTAL TRAUMA AT CHO RAY HOSPITAL: AN ANALYSIS OF EPIDEMIOLOGICAL CHARACTERISTICS AND TREATMENT OUTCOMES
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Abstract
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Background: Scrotal and testicular injuries, though relatively rare, can result in significant functional and cosmetic consequences. These injuries most commonly affect young, physically active males and require prompt diagnosis and tailored management to ensure organ preservation and optimal outcomes. Objective: To analyze the epidemiological and clinical characteristics and to evaluate the treatment outcomes of scrotal trauma at Cho Ray Hospital from 2019 to 2024. Materials and Methods: A descriptive retrospective study was conducted on 107 patients with scrotal trauma and injuries treated at the Department of Urology, Cho Ray Hospital, from January 2019 to January 2024. Data was analyzed using Stata 14 software. Results: The mean age of patients was 37.5±15.2 years, with the 19-35 age group being the most prevalent. Traffic accidents were the leading cause (71%). The most common types of injuries were penetrating injuries (56.1%) and contusions/subcutaneous hematomas (25.2%). Blunt scrotal trauma was managed conservatively (81.5%), while penetrating injuries and testicular ruptures always required surgical intervention (83.3% and 100%). Scrotal exploration, debridement, and tunica albuginea repair were prioritized to preserve function. Early complications were rare, hematoma (7.1%) and wound infection (3.7%). Conclusion: Traffic accidents were the leading cause of scrotal trauma at Cho Ray Hospital. Conservative management is suitable for minor injuries, whereas more severe injuries require timely surgical intervention to maximize the potential for testicular preservation and cosmetic recovery.
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Keywords
Scrotal trauma, Testicular rupture, Surgical management, Penetrating injury, Scrotal reconstruction.
References
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