Related Experiment Video
Updated: Jul 18, 2026
Transcutaneous Neuromuscular Electrical Stimulation for Treating Varicocele-Induced Scrotal Pain
Published on: August 30, 2024
Acute scrotal pain in children--ten years' experience
J Varga1, D Zivkovic, S Grebeldinger
1Pediatric Surgery Clinic Novi Sad, Novi Sad, Serbia and Montenegro.
Insights
Prompt medical attention for acute scrotal pain in children is crucial for accurate diagnosis and effective treatment. Early intervention significantly impacts outcomes for conditions like epididymitis and testicular torsion.
Area of Science:
- Pediatric Surgery
- Urology
- Emergency Medicine
Background:
- Acute scrotal pain in children necessitates prompt diagnosis due to potential surgical emergencies.
- Understanding the causes of acute scrotal pain is vital for effective treatment and prognosis.
Purpose of the Study:
- To analyze the incidence, symptoms, and treatment outcomes of acute scrotal pain in pediatric patients.
- To evaluate the diagnostic accuracy and therapeutic strategies for acute scrotal pain in children.
Main Methods:
- Retrospective analysis of 256 pediatric patients hospitalized with acute scrotal pain.
- Data collected included patient demographics, symptom duration, clinical findings, treatment modalities, and surgical outcomes.
Main Results:
- The most common diagnoses were acute epididymitis (43.0%) and torsion of the testicular appendage (40.6%).
- Testicular torsion occurred in 11.7% of cases. Surgical intervention was performed in 64.8% of patients.
- Successful outcomes were reported across various etiologies with timely management.
Conclusions:
- Prompt medical evaluation is essential for all cases of acute scrotal pain in children, irrespective of the underlying cause.
- Educating parents and children about acute scrotal pain symptoms can lead to earlier presentation and improved treatment results.
Introduction:
Acute scrotal pain sometimes requires prompt surgical intervention and therefore accurate diagnosis of different etiologies of acute scrotal pain has great therapeutical and prognostic significance. The aim of this study was to analyze the incidence, symptomatology and results of treatment of acute scrotal pain in children.
Material And Method:
The study included patients hospitalized at the Pediatric Surgery Clinic with a diagnosis of acute scrotal pain. We retrospectively analyzed anamnestic data (age of patient and duration of anamnesis prior to admission), clinical parameters obtained during physical examination, mode of treatment (operative or medical), intraoperative findings and (postoperative) treatment.
Results:
The study included 256 patients with acute scrotal pain, aged from several hours up to 17 years of age (average 9.73 years). The average duration of symptoms prior to admission was 56.74 h. Acute epididymitis was diagnosed in 110 patients (43.0%), torsion of the testicular appendage in 104 patients (40.6%), torsion of the testis in 30 patients (11.7%) and other pathologies in another 12 patients. 166 patients (64.8%) underwent surgery, 42 patients with orchiepididymitis (38.2%), 92 patients with torsion of the testicular appendage (88.5%), and 16.6% of the patients with other pathologies. 22 patients with torsion of the testis underwent surgery (73.3%), while the rest of the 8 patients underwent manual detorquation of the testis.
Conclusion:
Regardless of the etiology of the acute scrotal pain, it is of great importance that the patient seeks medical assistance promptly. It is therefore important to educate the parents and patients about the problems related to acute scrotal pain.
Related Concept Videos
01:22Appendicitis-I: Introduction
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
01:20Disorders of the Male Reproductive System
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra. Symptoms...
01:19Testes: Gross Anatomy
Each testis is surrounded by the tunica albuginea, a dense connective tissue layer that provides structural support and protection. This layer is covered by an outer serous membrane called the tunica vaginalis, which helps reduce friction...