Wounds of the Scrotum, Testis, Epididymis, and Spermatic Cord Structures

In the limited data published to date on genitourinary injuries from the Vietnam War, the incidence of scrotal–testicular injuries has varied from 25.4% of all urological injuries reported by Salvatierra et al to as high as 35.4% by Busch et al. In all the series to date, scrotal–testicular injuries constituted the major proportion of wounds of the external genitalia. These wounds were most often secondary to penetrating or perforating agents. In both Salvatierra et al’s and Selikowitz’s series, wounds of the kidney were more common than wounds of the scrotum and testis. Likewise, in his World War II analyses, Culp reported kidney wounds to be more common than the next-most common, which was to the scrotum and testis; Kimbrough, however, reported a much higher percentage of scrotal–testicular than renal wounds.