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

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 p...

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Bibliographic Details
Published inEuropean urology Vol. 21; no. 1; p. 45
Main Authors Ben-Chaim, J, Leibovitch, I, Ramon, J, Winberg, D, Goldwasser, B
Format Journal Article
LanguageEnglish
Published Switzerland 1992
Subjects
Acute Disease
Adolescent
Adult
Child
Genital Diseases, Male - etiology
Humans
Incidence
Male
Scrotum
Spermatic Cord Torsion - complications
Spermatic Cord Torsion - epidemiology
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Summary: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.
ISSN:0302-2838
DOI:10.1159/000474799