RESUMEN
To discuss the epidemiological, clinical and therapeutic aspects of scrotal trauma on the basis of a series of patients seen at the Department of Urology and Andrology, A. Le Dantec Hospital, Dakar. In this retrospective study the records of 14 patients treated for scrotal trauma at the Department of Urology and Andrology, A. Le Dantec Hospital, Dakar between July 1986 and July 2002 were analysed. The aptients' mean age was 28 years. The main etiology was road traffic accident. The most common presenting symptom was acute scrotum [n = 10]. Patients with penetrating trauma [n=4] presented within a mean time of 45 minutes following the injury. Blunt trauma was found in 10 patients. Treatment consisted of orchidectomy in 2, suturing of the lesions in 2, hematocele evacuation and repair of the lesions in 6 cases [testicular albuginea suture or epididymal lesion suture] and repair of hydrocele in 1 case. A favorable outcome could be achieved in 11 cases. Two cases of testicular atrophy and three cases of oligoasthenozoospermia were noted. Early consultation and routine scrotal ultrasonography in cases of blunt scrotal trauma without hematocele are necessary to improve the prognosis