A selective approach to the treatment of acute scrotum in children

B. Klin, L. Zlotkevich, T. Horne, G. Livshitz, Y. Efrati, I. Vinograd*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


To determine a reliable clinical approach to the problem of acute scrotum (AS) in children and identify patients who require emergent surgical intervention, 65 boys with the diagnosis of AS were studied. The mean age was 11 years. Acute orchitis/epididymitis was diagnosed in 42 (64.6%), torsion of the testis in 12 (18.5%), and torsion of the appendix testis in 5 (7.7%). A testicular radionuclide scan was the most reliable diagnostic tool, being positive in all 12 cases of torsion of the testis. Eighteen patients underwent scrotal exploration. Detorsion and bilateral orchidopexy was performed in 12, excision of a necrotic appendix testis in 5, and evacuation of a scrotal hematoma in 1. The outcome of the involved testis at follow-up examination was excellent, with only 1 child developing testicular atrophy. This study stresses the reliability of the selective approach for the treatment of the AS in children.

Original languageEnglish
Pages (from-to)483-486
Number of pages4
JournalPediatric Surgery International
Issue number7
StatePublished - Aug 1996


  • Acute scrotum


Dive into the research topics of 'A selective approach to the treatment of acute scrotum in children'. Together they form a unique fingerprint.

Cite this