Etiology of acute scrotum at surgical exploration in children, adolescents and adults

J. Ben-Chaim*, I. Leibovitch, J. Ramon, D. Winberg, B. Goldwasser

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Between January 1970 and December 1989, 171 patients underwent scrotal exploration for acute scrotum (an acute painful swelling of the scrotum or its content), at our hospital. Of 70 children scrotal explorations, torsion of appendages was found in 33 cases (47%). Torsion of testis was found in 24 patients (34%). Of the 84 adolescent scrotal explorations performed, 72 (86%) had torsion of testis, and 8 (9 %) had torsion of appendages. Of 17 adults, torsion of testis was found in 15 cases (88%). These results clarify that unnecessary explorations are much more common in children (66%) than in adolescents and adults (14%). We therefore suggest using radionuclear scans and/or Doppler ultrasound to facilitate clinical diagnosis in the children group.

Original languageEnglish
Pages (from-to)45-47
Number of pages3
JournalEuropean Urology
Volume21
Issue number1
DOIs
StatePublished - 1992
Externally publishedYes

Keywords

  • 'Acute scrotum'
  • Scrotal exploration
  • Torsion of appendages
  • Torsion of testis

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