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Four-year retrospective look for acute scrotal pathologies
Olga Devrim Ayvaz1, Aysenur Cerrah Celayir1, Serdar Moralioglu1
1Department of Pediatric Surgery, Zeynep Kamil Obstetrics and Children's Training and Research Hospital, Istanbul, Turkey.
Northern Clinics of Istanbul
|January 7, 2017
Summary
Acute scrotal pathologies require prompt evaluation. Early diagnosis and surgical intervention, when necessary, are crucial to prevent testicular loss in pediatric patients.
Area of Science:
- Pediatric Urology
- Emergency Medicine
- Diagnostic Imaging
Background:
- Acute scrotum encompasses various conditions causing sudden scrotal pain and swelling in children.
- Common causes include epididymitis, orchitis, testicular torsion, and traumatic hydrocele.
Purpose of the Study:
- To evaluate pediatric patients admitted with acute scrotal pathologies.
- To analyze the diagnostic methods and treatment outcomes for acute scrotum.
Main Methods:
- Retrospective analysis of 114 pediatric cases of acute scrotum from June 2010 to June 2014.
- Doppler ultrasonography (US) was used for blood flow evaluation in most cases.
- Exclusion of incarcerated inguinal hernias from the study cohort.
Main Results:
- Epididymitis/orchitis (72.8%) and testicular torsion (21.1%) were the most frequent diagnoses.
- Testicular torsion cases underwent detorsion (75%) or orchiectomy (25%).
- Follow-up US showed normal testicular size and vascularity in 61.1% of detorsioned testes; 38.9% required late orchiectomy due to atrophy.
Conclusions:
- Doppler US is valuable for early diagnosis of acute scrotum.
- Prompt surgical intervention without unnecessary delays can minimize the risk of testicular loss.
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