Management of the Acute Scrotum in a District General Hospital: 10-Year Experience
The acutely painful scrotum is a common urologic emergency. The primary objective of management is to avoid testicular loss. This requires a high index of clinical suspicion and prompt surgical intervention. In our series conducted between January 1996 and December 2005, 119 patients (age range: 4–6...
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| Format: | Article |
| Language: | English |
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Wiley
2009-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1100/tsw.2009.37 |
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| author | Lukas Tajchner John O. Larkin Michael G. Bourke Ronan Waldron Kevin Barry Paul W. Eustace |
| author_facet | Lukas Tajchner John O. Larkin Michael G. Bourke Ronan Waldron Kevin Barry Paul W. Eustace |
| author_sort | Lukas Tajchner |
| collection | DOAJ |
| description | The acutely painful scrotum is a common urologic emergency. The primary objective of management is to avoid testicular loss. This requires a high index of clinical suspicion and prompt surgical intervention. In our series conducted between January 1996 and December 2005, 119 patients (age range: 4–62 years) underwent emergency operative exploration for acute scrotal pain. The most common finding was torted cyst of Morgagni (63/119, 52.9%), followed by testicular torsion (41/119, 34.4%). The majority of testicular torsions occurred in the pubertal group (22/41, 53.6%). Only one patient in this group had an unsalvageable testis necessitating orchidectomy, a testicular loss rate in torsion of 2.4%. There were no postoperative wound infections or scrotal haematomas. Testicular salvage depends critically on early surgical intervention, so the delay incurred in diagnostic imaging may extend the period of ischaemia. Furthermore, all radiological investigations have a certain false-negative rate. We advocate immediate surgical exploration of the acute scrotum. We report a low orchidectomy rate (2.4%) in testicular torsion. |
| format | Article |
| id | doaj-art-eba43c6e71a74b18bd3c67c3fa28116e |
| institution | Kabale University |
| issn | 1537-744X |
| language | English |
| publishDate | 2009-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-eba43c6e71a74b18bd3c67c3fa28116e2025-02-03T01:26:04ZengWileyThe Scientific World Journal1537-744X2009-01-01928128610.1100/tsw.2009.37Management of the Acute Scrotum in a District General Hospital: 10-Year ExperienceLukas Tajchner0John O. Larkin1Michael G. Bourke2Ronan Waldron3Kevin Barry4Paul W. Eustace5Department of Surgery, Mayo General Hospital, Castlebar, Co. Mayo, IrelandDepartment of Surgery, Mayo General Hospital, Castlebar, Co. Mayo, IrelandDepartment of Surgery, Mayo General Hospital, Castlebar, Co. Mayo, IrelandDepartment of Surgery, Mayo General Hospital, Castlebar, Co. Mayo, IrelandDepartment of Surgery, Mayo General Hospital, Castlebar, Co. Mayo, IrelandDepartment of Surgery, Mayo General Hospital, Castlebar, Co. Mayo, IrelandThe acutely painful scrotum is a common urologic emergency. The primary objective of management is to avoid testicular loss. This requires a high index of clinical suspicion and prompt surgical intervention. In our series conducted between January 1996 and December 2005, 119 patients (age range: 4–62 years) underwent emergency operative exploration for acute scrotal pain. The most common finding was torted cyst of Morgagni (63/119, 52.9%), followed by testicular torsion (41/119, 34.4%). The majority of testicular torsions occurred in the pubertal group (22/41, 53.6%). Only one patient in this group had an unsalvageable testis necessitating orchidectomy, a testicular loss rate in torsion of 2.4%. There were no postoperative wound infections or scrotal haematomas. Testicular salvage depends critically on early surgical intervention, so the delay incurred in diagnostic imaging may extend the period of ischaemia. Furthermore, all radiological investigations have a certain false-negative rate. We advocate immediate surgical exploration of the acute scrotum. We report a low orchidectomy rate (2.4%) in testicular torsion.http://dx.doi.org/10.1100/tsw.2009.37 |
| spellingShingle | Lukas Tajchner John O. Larkin Michael G. Bourke Ronan Waldron Kevin Barry Paul W. Eustace Management of the Acute Scrotum in a District General Hospital: 10-Year Experience The Scientific World Journal |
| title | Management of the Acute Scrotum in a District General Hospital: 10-Year Experience |
| title_full | Management of the Acute Scrotum in a District General Hospital: 10-Year Experience |
| title_fullStr | Management of the Acute Scrotum in a District General Hospital: 10-Year Experience |
| title_full_unstemmed | Management of the Acute Scrotum in a District General Hospital: 10-Year Experience |
| title_short | Management of the Acute Scrotum in a District General Hospital: 10-Year Experience |
| title_sort | management of the acute scrotum in a district general hospital 10 year experience |
| url | http://dx.doi.org/10.1100/tsw.2009.37 |
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