Acute scrotal pain pdf

In cases of intermittent torsion, patients typically report recurrent episodes of acute unilateral scrotal pain. A total of 543 boys suffering from acute scrotal pain underwent emergency surgery between 1986 and 1996. Orchiepididymitis is the most frequent cause of acute scrotal pain in adults. A range of medical conditions can cause testicular pain, from infections to testicular torsion, a medical emergency. Helps localise a scrotal swelling testicular or extra testicular.

Acute scrotal pain swelling monash childrens hospital. Scrotal pain in a young man pdf this document was amended in july 2016 to reflect literature that was released since the original publication of this content in may 2012. Diabetic neuropathy nerve damage caused by diabetes drug side effect, such as certain antibiotics and chemotherapy drugs. The most common causes of acute scrotal pain in adults are testicular torsion and epididymitis. Pdf role of us in acute scrotal pain carlo trombetta. Acute scrotal pain has a range of differential diagnoses, including testicular torsion. It is most common in postpubertal boys, although it can be seen in a range of ages, from neonates to young men. They may respond to hormones by increasing in size in the years before puberty. In its acute form, scrotal pain is a medical emergency requiring prompt attention to rule out testicular torsion. Appropriately order imaging studies to make the diagnosis of the acute scrotum.

Causes of testicle pain or pain in the testicle area can include. Doppler ultrasound is not useful in the acute setting. Once a testicular torsion and incarcerated hernia has been excluded by surgical consultation, ultrasound may be considered if the diagnosis remains unclear. Epididymitis and torsion of the appendix testis may be managed conservatively once testicular torsion has been ruled out. The 4 most common causes of acute scrotal pain in athletes are trauma, testicular torsion, torsion of a testicular appendage, and epididymitis. Torsion requires emergency surgical exploration and. A discussion of the most important and common conditions that cause acute scrotal pain or swelling follows. Acute scrotal pain with or without testicular swelling may be due to testicular ischemia and infarction or acute inflammatory conditions such as epididymoorchitis 1.

Acute scrotal pain swelling this%information%sheet%is%for%educationalpurposes%only. Initial evaluation and management of acute scrotal pain. Acute scrotal pain is a common urological emergency. As the most common cause of scrotal pain in children, torsion of the appendix testis can present with clinical features similar to testicular torsion, such as severe acute scrotal pain with nausea and vomiting. Pdf acute scrotum etiology and management researchgate. Testicular torsion is often a challenging diagnosis to make, yet it is one that must be actively excluded in every presentation of acute scrotal pain. Acute scrotal pain is a common surgical emergency in boys, and represents 0. Describe six conditions that may produce acute scrotal pain or swelling.

Urgent exploration is the standard means of management, since no investigation can. Nonacute scrotal conditions in adults and scrotal disorders in children and adolescents are discussed separately. This document will continue to be periodically updated to reflect the growing body of literature related to this topic. Testicular torsion is ischaemia of the testicle due to rotation along the longitudinal axis of the spermatic cord. Learn about these and other causes of pain in the testicles here. Although all can appear clinically similar, subtle features in the history and physical examination may lead the examiner to the correct diagnosis.

The cause of testicle pain cant always be identified. Acute pain or swelling occurs when part of the contents of the scrotum are injured or inflamed. This topic addresses the clinical evaluation and management of the acute scrotum, which is defined as moderate to severe scrotal pain that develops over the course of minutes to one to two days, in adults. Distinguish, through the history, physical examination and laboratory testing, testicular torsion, torsion of testicular appendices, epididymitis, testicular tumor, scrotal trauma, and hernia. However, colour doppler flow ultrasound can assess anatomy and blood flow. Acute scrotum pain is defined as the constellation of newonset pain, swelling, andor tenderness of the intrascrotal contents. Scrotal swelling can occur due to injury or an underlying medical condition that may include an accumulation of fluid, inflammation, or an abnormal growth. Other conditions that may result in acute scrotal pathology.