Management of the acute scrotum in a district general hospital: 10-year experience.

Hdl Handle:
http://hdl.handle.net/10147/203252
Title:
Management of the acute scrotum in a district general hospital: 10-year experience.
Authors:
Tajchner, Lukas; Larkin, John O; Bourke, Michael G; Waldron, Ronan; Barry, Kevin; Eustace, Paul W
Affiliation:
Department of Surgery, Mayo General Hospital, Castlebar, Co. Mayo, Republic of, Ireland.
Citation:
ScientificWorldJournal. 2009 Apr 28;9:281-6.
Journal:
TheScientificWorldJournal
Issue Date:
31-Jan-2012
URI:
http://hdl.handle.net/10147/203252
DOI:
10.1100/tsw.2009.37
PubMed ID:
19412556
Abstract:
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.
Language:
eng
MeSH:
Adolescent; Adult; Child; Child, Preschool; Cysts/surgery; False Negative Reactions; Genital Diseases, Male/diagnosis/surgery; Humans; Male; Middle Aged; *Pain/surgery; Retrospective Studies; *Scrotum/surgery; Spermatic Cord Torsion/*diagnosis/surgery/ultrasonography; Testis/*surgery/ultrasonography; Time Factors
ISSN:
1537-744X (Electronic); 1537-744X (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorTajchner, Lukasen_GB
dc.contributor.authorLarkin, John Oen_GB
dc.contributor.authorBourke, Michael Gen_GB
dc.contributor.authorWaldron, Ronanen_GB
dc.contributor.authorBarry, Kevinen_GB
dc.contributor.authorEustace, Paul Wen_GB
dc.date.accessioned2012-01-31T15:55:14Z-
dc.date.available2012-01-31T15:55:14Z-
dc.date.issued2012-01-31T15:55:14Z-
dc.identifier.citationScientificWorldJournal. 2009 Apr 28;9:281-6.en_GB
dc.identifier.issn1537-744X (Electronic)en_GB
dc.identifier.issn1537-744X (Linking)en_GB
dc.identifier.pmid19412556en_GB
dc.identifier.doi10.1100/tsw.2009.37en_GB
dc.identifier.urihttp://hdl.handle.net/10147/203252-
dc.description.abstractThe 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.en_GB
dc.language.isoengen_GB
dc.subject.meshAdolescenten_GB
dc.subject.meshAdulten_GB
dc.subject.meshChilden_GB
dc.subject.meshChild, Preschoolen_GB
dc.subject.meshCysts/surgeryen_GB
dc.subject.meshFalse Negative Reactionsen_GB
dc.subject.meshGenital Diseases, Male/diagnosis/surgeryen_GB
dc.subject.meshHumansen_GB
dc.subject.meshMaleen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.mesh*Pain/surgeryen_GB
dc.subject.meshRetrospective Studiesen_GB
dc.subject.mesh*Scrotum/surgeryen_GB
dc.subject.meshSpermatic Cord Torsion/*diagnosis/surgery/ultrasonographyen_GB
dc.subject.meshTestis/*surgery/ultrasonographyen_GB
dc.subject.meshTime Factorsen_GB
dc.titleManagement of the acute scrotum in a district general hospital: 10-year experience.en_GB
dc.contributor.departmentDepartment of Surgery, Mayo General Hospital, Castlebar, Co. Mayo, Republic of, Ireland.en_GB
dc.identifier.journalTheScientificWorldJournalen_GB
dc.description.provinceConnacht-

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