Abstract

Objective: Pediatric penoscrotal trauma, though relatively uncommon, can lead to significant clinical consequences. These injuries, predominantly caused by blunt mechanisms, can also result from penetrating trauma, potentially leading to severe complications. Ultrasonography serves as a critical diagnostic tool, with timely surgical intervention being crucial, particularly in testicular rupture. This study aimed to evaluate the injury mechanisms, diagnostic processes, and treatment outcomes in pediatric patients sustaining penoscrotal trauma.

Material and Methods: This retrospective observational study included 31 male patients under 18 years old treated for isolated penoscrotal trauma from October 2020 to July 2024. Data collected included demographics, trauma type, injury mechanisms, ultrasonographic findings, and treatment methods. Patients were categorized into blunt and penetrating trauma groups, with age distribution and ultrasonographic follow-up comparisons conducted. SPSS version 25.0 was used for statistical analysis, and p<0.050 was considered statistically significant. 

Results: The mean patient age was 8.94±3.52 years. Scrotal trauma accounted for 64.5% of cases, penile trauma 32.3%, and combined penoscrotal trauma 3.2%. Penetrating trauma (58.1%) was more prevalent than blunt trauma (41.9%), with bicycle accidents being the most frequent cause (38.7%). Most penetrating injuries required surgical intervention (15 patients), while blunt injuries were typically managed conservatively (10 patients). No significant difference in testicular volume was observed during follow-up ultrasonography among blunt trauma patients (p=0.068).

Conclusion: Management strategies for pediatric penoscrotal trauma differ based on trauma type. Early diagnosis and appropriate intervention appear essential for preserving testicular function and morphology.

Keywords: Chilhood trauma, doppler, genitourinary injury, ultrasonography

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Copyright © 2025 The Author(s). This is an open access article distributed under the Creative Commons Attribution License (CC BY), which permits unrestricted use, distribution, and reproduction in any medium or format, provided the original work is properly cited.

How to cite

1.
Bostancı SA, Erten EE, Ertürk A, Öztorun Cİ, Çayhan VS, Akbaş İ, et al. Hidden risks, timely solutions: pediatric penoscrotal trauma and clinical outcomes . Turk J Pediatr Dis [Internet]. 2025 Jul. 2 [cited 2025 Jul. 7];:1-4. Available from: https://turkjpediatrdis.org/article/view/1120