Diagnostic and therapeutic problems of acute scrotum

In retrospective study of 90 patients operated on for acute unilateral pains in scrotum region and its content--the so-called acute scrotum--during revision torsion of testis was found 48 times (53.3%), torsion of appendix testis 24 times (26.7%), acute epididymitis 17 times (18.9%) and testis tumour in one patient (1.1%). Comparing clinical symptoms, local finding in scrotum and laboratory findings among individual groups of patients a finding which could clearly distinguish torsion from acute epididymitis was not found. If torsion of testis cannot be reliably excluded, immediate revision of scrotum content must be carried out.