[Scrotal traumas: clinical and therapeutic aspects in the service of urology of the Gabriel Touré University hospital].

Objective: To describe epidemiological, clinical, paraclinical and therapeutic aspects of scrotal trauma in the service of urology-andrology of the Gabriel Touré University hospital from Bamako in Mali.

Material And Method: This was a retrospective study concerning 13 patients' files which were taken care from the service of Urology-andrology at the Gabriel Touré hospital of Mali for scrotal trauma from February, 2006 until January, 2013. The following parameters were studied: frequency, age, etiology, motive and the time limit of consultation, results of clinical examination, protocol of adopted treatment and outcome.

Results: The mean age was 28 years with extremes of 1 year and 46 years old. The circumstances of occurrence were dominated by road traffic accidents (12 cases), an aggression by firearms. The timeout of consultation varied between 1 hour in 1 day. Enlarged and painful scrotum was the most frequent motive for consultation (n=12). In the physical examination the trauma was closed in 10 cases, and opened in 3 cases.

Unlabelled: On the therapeutic plan, 7 of our patients underwent a surgical procedure and 5 a conservative management (surveillance (monitoring) + AIN). Surgical procedures consisted of: plastic surgery of the scrotal and penile envelopes (n=2), an orchidopexy, an uretroplastia (n=1), a wound care and drainage of the bladder, and orchidectomy. The average hospital stay was of 5 days with extremes at one day and 1 month. Immediate postoperative recoveries were simple in all patients except two.

Conclusion: A surgical exploration must be realized in the case of hematocele or of the rupture of the testicular albuginea via ultrasound. Early intervention allows for the preservation of the gonadal function.