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Bursal Traumas: Epidemiological, Clinical and Therapeutic Aspects

Received: 11 November 2023     Accepted: 28 November 2023     Published: 6 December 2023
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Abstract

Introduction: scrotal ou testicular trauma is often associated with low mortality with a significant risk of infertility in men. The aims of our study was to analyze the epidemiological, clinical and therapeutic aspects of bursal traumas. Patients and methods: retrospective descriptive study of 20 patients followed for bursal trauma from January 2007 to December 2021 at a university hospital in Senegal. Parameters studied: age, reason for consultation, consultation delay, nature of trauma, lesion assessment, treatment carried out and therapeutic results. The primary endpoint was the incidence of scrotal or testicular lesions. Results: The mean age of the patients was 32.7 years. Scrotal pain (n=19) was the most frequent reason for consultation. The average consultation time was 45 min. There was closed trauma in 14 patients and open trauma in 6. The main cause of closed trauma was road traffic accidents (n=9). Ultrasonography of the bursa was performed in all patients with closed bursal trauma, and hematocele (n=8) was the most frequent lesion revealed by this examination. Fifteen patients underwent surgery and 5 had conservative treatment. Evacuation of a hematocele (n=9) was the most frequently performed surgical procedure. Testicular lesions were the most common intraoperatively (n=10), with a predominance of AAST grade V lesions. Most of the post-operative course was straightforward. Three patients had oligoasthenozoospermia on the post-traumatic spermogram. Conclusion: bursal traumas was a rare emergency involving young adults. Few complications were noted after treatment.

Published in International Journal of Clinical Urology (Volume 7, Issue 2)
DOI 10.11648/j.ijcu.20230702.19
Page(s) 65-68
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Bursa, Testicles, Trauma, Spermogram, Senegal

References
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[2] Grigorian A, Livingston JK, Schubl SD, Hasjim BJ, Mayers D, Kuncir E et al. National analysis of testicular and scrotal trauma in the USA. Research and Reports in Urology 2018: 10 51–56. DOI: 10.2147/RRU.S172848. eCollection 2018.
[3] Paparel P, N’Diaye A, Laumon B, Caillot JL, Perrin P, Ruffion A. The epidemiology of trauma of the genitourinary system after traffic accidents: analysis of a register of over 43,000 victims. BJU Int 2006, 97 (2): 338-341. DOI: 10.1111/j.1464-410X.2006.05900.x.
[4] Robledo XG, Gualdron YG, Vallecilla KV, Díaz-Hung A, García-Perdomo HA. Testicular Doppler ultrasound in scrotal trauma: A diagnostic tool with potentially relevant therapeutic implications. Can Urol Assoc J 2021, 15 (7): 366-369. DOI: 10.5489/cuaj.6840.
[5] Tsili AC, Argyropoulou MI, Dolciami M, Ercolani G, Catalano C, Manganaro L. When to ask for an MRI of the scrotum. Andrology 2021, 9: 1395–1409. DOI: 10.1111/andr.13032. Epub 2021 Jun 11.
[6] Morey AF, Brandes S, David D, et al. Urotrauma: AUA guideline. J Urol 2014, 192: 1-9. DOI: 10.1016/j.juro.2014.05.004.
[7] Mohr AM, Pham AM, Lavery RF et al. Management of trauma to the male external genitalia: the usefulness of American Association for the Surgery of Trauma organ injury scales. J Urol 2003, 170: 2311. doi: 10.1097/01.ju.0000089241.71369.fa.
[8] Gross M. Rupture of the testicle: the importance of early surgical treatment. J Urol. 1969, 101 (2): 196–197. DOI: 10.1016/s0022-5347(17)62310-3.
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[12] Kitrey ND, Campos-Juanatey F, Hallscheidt P, Mayer E, E. Serafetinidis E, D. M. Sharma DM et al. EAU guidelines on urological trauma. European Association of Urology, 2023. Available at: https://uroweb.org/individual-guidelines/non-oncology-guidelines/. Accessed 6 October 2023.
[13] Rees CA, Monuteaux MC, Steidley I, Mannix R, Lee LK, Barrett JT, Fleegler EW. Trends and Disparities in Firearm Fatalities in the United States, 1990-2021. JAMA Netw Open 2022, 5 (11): e2244221. DOI: 10.1001/jamanetworkopen.2022.44221.
[14] Guichard G, El Ammari J, Del Coro C, et al. Accuracy of ultrasonography in diagnosis of testicular rupture after blunt scrotal trauma. Imag Clin Urol 2008, 71: 52-6. DOI: 10.1016/j.urology.2007.09.014.
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Cite This Article
  • APA Style

    Ze Ondo, C., Thiam, A., Sarr, A., Sine, B., Seck Ndour, N., et al. (2023). Bursal Traumas: Epidemiological, Clinical and Therapeutic Aspects. International Journal of Clinical Urology, 7(2), 65-68. https://doi.org/10.11648/j.ijcu.20230702.19

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    ACS Style

    Ze Ondo, C.; Thiam, A.; Sarr, A.; Sine, B.; Seck Ndour, N., et al. Bursal Traumas: Epidemiological, Clinical and Therapeutic Aspects. Int. J. Clin. Urol. 2023, 7(2), 65-68. doi: 10.11648/j.ijcu.20230702.19

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    AMA Style

    Ze Ondo C, Thiam A, Sarr A, Sine B, Seck Ndour N, et al. Bursal Traumas: Epidemiological, Clinical and Therapeutic Aspects. Int J Clin Urol. 2023;7(2):65-68. doi: 10.11648/j.ijcu.20230702.19

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  • @article{10.11648/j.ijcu.20230702.19,
      author = {Cyrille Ze Ondo and Amath Thiam and Alioune Sarr and Babacar Sine and Ndiaga Seck Ndour and Abdoulaye Ndiath and Ousmane Sow and Babacar Diao and Alain Khassim Ndoye},
      title = {Bursal Traumas: Epidemiological, Clinical and Therapeutic Aspects},
      journal = {International Journal of Clinical Urology},
      volume = {7},
      number = {2},
      pages = {65-68},
      doi = {10.11648/j.ijcu.20230702.19},
      url = {https://doi.org/10.11648/j.ijcu.20230702.19},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcu.20230702.19},
      abstract = {Introduction: scrotal ou testicular trauma is often associated with low mortality with a significant risk of infertility in men. The aims of our study was to analyze the epidemiological, clinical and therapeutic aspects of bursal traumas. Patients and methods: retrospective descriptive study of 20 patients followed for bursal trauma from January 2007 to December 2021 at a university hospital in Senegal. Parameters studied: age, reason for consultation, consultation delay, nature of trauma, lesion assessment, treatment carried out and therapeutic results. The primary endpoint was the incidence of scrotal or testicular lesions. Results: The mean age of the patients was 32.7 years. Scrotal pain (n=19) was the most frequent reason for consultation. The average consultation time was 45 min. There was closed trauma in 14 patients and open trauma in 6. The main cause of closed trauma was road traffic accidents (n=9). Ultrasonography of the bursa was performed in all patients with closed bursal trauma, and hematocele (n=8) was the most frequent lesion revealed by this examination. Fifteen patients underwent surgery and 5 had conservative treatment. Evacuation of a hematocele (n=9) was the most frequently performed surgical procedure. Testicular lesions were the most common intraoperatively (n=10), with a predominance of AAST grade V lesions. Most of the post-operative course was straightforward. Three patients had oligoasthenozoospermia on the post-traumatic spermogram. Conclusion: bursal traumas was a rare emergency involving young adults. Few complications were noted after treatment.
    },
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Bursal Traumas: Epidemiological, Clinical and Therapeutic Aspects
    AU  - Cyrille Ze Ondo
    AU  - Amath Thiam
    AU  - Alioune Sarr
    AU  - Babacar Sine
    AU  - Ndiaga Seck Ndour
    AU  - Abdoulaye Ndiath
    AU  - Ousmane Sow
    AU  - Babacar Diao
    AU  - Alain Khassim Ndoye
    Y1  - 2023/12/06
    PY  - 2023
    N1  - https://doi.org/10.11648/j.ijcu.20230702.19
    DO  - 10.11648/j.ijcu.20230702.19
    T2  - International Journal of Clinical Urology
    JF  - International Journal of Clinical Urology
    JO  - International Journal of Clinical Urology
    SP  - 65
    EP  - 68
    PB  - Science Publishing Group
    SN  - 2640-1355
    UR  - https://doi.org/10.11648/j.ijcu.20230702.19
    AB  - Introduction: scrotal ou testicular trauma is often associated with low mortality with a significant risk of infertility in men. The aims of our study was to analyze the epidemiological, clinical and therapeutic aspects of bursal traumas. Patients and methods: retrospective descriptive study of 20 patients followed for bursal trauma from January 2007 to December 2021 at a university hospital in Senegal. Parameters studied: age, reason for consultation, consultation delay, nature of trauma, lesion assessment, treatment carried out and therapeutic results. The primary endpoint was the incidence of scrotal or testicular lesions. Results: The mean age of the patients was 32.7 years. Scrotal pain (n=19) was the most frequent reason for consultation. The average consultation time was 45 min. There was closed trauma in 14 patients and open trauma in 6. The main cause of closed trauma was road traffic accidents (n=9). Ultrasonography of the bursa was performed in all patients with closed bursal trauma, and hematocele (n=8) was the most frequent lesion revealed by this examination. Fifteen patients underwent surgery and 5 had conservative treatment. Evacuation of a hematocele (n=9) was the most frequently performed surgical procedure. Testicular lesions were the most common intraoperatively (n=10), with a predominance of AAST grade V lesions. Most of the post-operative course was straightforward. Three patients had oligoasthenozoospermia on the post-traumatic spermogram. Conclusion: bursal traumas was a rare emergency involving young adults. Few complications were noted after treatment.
    
    VL  - 7
    IS  - 2
    ER  - 

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Author Information
  • Urology Department, University Hospital Center Aristide Le Dantec, Dakar, Senegal

  • Urology Department, University Hospital Center Aristide Le Dantec, Dakar, Senegal

  • Urology Department, University Hospital Center Aristide Le Dantec, Dakar, Senegal

  • Urology Department, University Hospital Center Aristide Le Dantec, Dakar, Senegal

  • Urology Department, University Hospital Center Aristide Le Dantec, Dakar, Senegal

  • Urology Department, University Hospital Center Aristide Le Dantec, Dakar, Senegal

  • Urology Department, Regional Hospital, Linguere, Senegal

  • Urology Department, University Hospital Center Aristide Le Dantec, Dakar, Senegal

  • Urology Department, University Hospital Center Aristide Le Dantec, Dakar, Senegal

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