Clinical characteristics and predictors of pediatric scrotal trauma: a retrospective cohort study
European Society for Emergency Medicine Congress 2026 (EUSEM 2026), Paris, Fransa, 24 - 27 Eylül 2026, ss.1, (Özet Bildiri)
- Yayın Türü: Bildiri / Özet Bildiri
- Basıldığı Şehir: Paris
- Basıldığı Ülke: Fransa
- Sayfa Sayıları: ss.1
- Eskişehir Osmangazi Üniversitesi Adresli: Evet
Özet
Introduction: Pediatric scrotal trauma may harbor significant intra-scrotal injuries requiring urgent surgery, yet clinical features that best predict pathologic ultrasonography (USG) findings and surgical need remain incompletely characterized. This study aimed to characterize the clinical spectrum of pediatric scrotal trauma and identify independent bedside predictors of pathologic USG findings and surgical intervention.
Material and Methods: Single-center retrospective cohort study. Male patients aged ≤18 years presenting to a tertiary emergency department with scrotal trauma who underwent emergency scrotal Doppler USG were included (2018–2024). Primary outcomes were (1) pathologic USG finding and (2) surgical intervention. Mechanism of injury, chief complaint, and physical examination (PE) findings were analyzed by univariate and multivariable logistic regression with backward elimination. Model discrimination was assessed by the area under the ROC curve (AUC). Ethical approval was obtained (GOKAEK/2025-01-15); informed consent was waived. This research received no specific funding from any public, commercial, or not-for-profit agency.
Results
Of 143 included patients (median age 11 years, IQR 8–14), 44 (30.8%) had pathologic USG findings and 21 (14.7%) required surgical intervention. Testicular ischemia and rupture occurred exclusively in surgically managed patients. As shown in Table 1, penetrating trauma (adjusted OR 19.08; 95% CI 2.94–123.93), edema/swelling on PE (adjusted OR 6.52; 95% CI 1.98–21.45), and hematoma on PE (adjusted OR 32.01; 95% CI 3.54–289.82) were independent predictors of pathologic USG (AUC 0.844). For surgical intervention, penetrating trauma and edema/swelling were the primary independent predictors (AUC 0.919).
Conclusions: The majority of pediatric scrotal injuries are minor; a clinically important minority harbor structural damage requiring surgery. Penetrating trauma mechanism, edema/swelling, and hematoma on physical examination are the strongest independent bedside predictors of pathologic USG and surgical intervention. Recognition of these features can guide prompt imaging and early surgical referral. Prospective multicenter studies are needed to validate these findings.