Scrotal Pain

2017 ◽  
pp. 105-118
Author(s):  
Aaron E. Ovadia ◽  
Hailiu Yang ◽  
Craig S. Niederberger ◽  
Christina Ho ◽  
Michael Sabia ◽  
...  
Keyword(s):  
Scrotal Pain

802: Validating the Reliability of Radiographic Imaging for Boys with Acute Scrotal Pain

2005 ◽  
Vol 173 (4S) ◽  
pp. 217-217
Author(s):  
Elliot M. Paul ◽  
Carolina Alvayay ◽  
Josephine Rini ◽  
Gene Tronco ◽  
Christopher Palestro ◽  
...  
Keyword(s):  
Radiographic Imaging ◽  
Scrotal Pain ◽  
Acute Scrotal Pain

Causes of delayed exploration of the acute scrotum in a regional tertiary centre

2020 ◽  
pp. 205141582098119
Author(s):  
Benjamin Storey ◽  
Nathan Shugg ◽  
Alison Blatt
Keyword(s):  
Retrospective Review ◽  
Testicular Torsion ◽  
Tertiary Hospital ◽  
Adverse Outcomes ◽  
Acute Scrotum ◽  
Tertiary Institution ◽  
Level Of Evidence ◽  
Scrotal Pain ◽  
Surgical Exploration ◽  
Significant Difference

Background: Testicular torsion is an organ-threatening surgical emergency with a limited timeframe for intervention. Objective: To identify the delays to surgical exploration of patients with an acute scrotum in a tertiary hospital to prevent adverse outcomes associated with this time critical emergency. Methods: A retrospective review of medical records for all patients who underwent scrotal exploration for acute scrotal pain in a tertiary hospital in regional New South Wales between January 2008 to December 2018 was performed. Results: Retrospective review identified 242 patients, of whom 161 had testicular torsion and 56 resultant orchidectomies. No statistically significant difference in pre-hospital delays between paediatric or adult populations was found. The average time from presentation to theatre was 4 h 36 min. Patients who were delayed > 6 h from presentation to surgical exploration had significantly increased rates of orchidectomy. Delays that significantly affected rates of orchidectomy were transfer from peripheral sites, late presentation, misdiagnosis and representation after discharge. Conclusion: The most common reason for delay was diagnostic error with the patient later re-presenting to hospital. Patient transfer from the primary hospital to a tertiary institution and subsequent delayed surgical exploration also contributed to significantly higher rates of orchidectomy. Level of Evidence: 3

scholarly journals Henoch-Schönlein purpura without systemic involvement beginning with acute scrotum and mimicking torsion of testis

2013 ◽  
Vol 85 (1) ◽  
pp. 50 ◽  
Author(s):  
Levent Verim ◽  
Filiz Cebeci ◽  
M. Remzi Erdem ◽  
Adnan Somay
Keyword(s):  
Medical Literature ◽  
Systemic Vasculitis ◽  
Complete Recovery ◽  
Lower Limbs ◽  
Acute Scrotum ◽  
Scrotal Pain ◽  
Systemic Involvement ◽  
Small Vessels ◽  
Skin Symptoms ◽  
Schonlein Purpura

Henoch-Schönlein purpura (HSP) is the most common systemic vasculitis in children. Typical presentations of HSP are palpable purpura of the small vessels in the hips and lower limbs, abdominal pain, arthritis, and hematuria. Scrotal involvement manifested by the presence of scrotal pain and swelling during the course of the disease is rarely seen. HSP without systemic involvement with acute scrotum mimicking testicular torsion is even rare in the medical literature. In most cases, patients with this disease achieve complete recovery. Herein, we report an interesting HSP case with skin symptoms but without systemic involvement and then progression to acute scrotum resembling torsion of testis.

scholarly journals ERCP-Related Duodenal Perforation Presenting as Pneumoscrotum

2018 ◽  
Vol 12 (1) ◽  
pp. 1-6
Author(s):  
Mohammad Saud Khan ◽  
Faisal Jamal ◽  
Zubair Khan ◽  
Abhinav Tiwari ◽  
Hermann Simo ◽  
...  
Keyword(s):  
Supportive Care ◽  
Male Patient ◽  
Subcutaneous Emphysema ◽  
Duodenal Perforation ◽  
Close Monitoring ◽  
Air Leak ◽  
Endoscopic Retrograde ◽  
Scrotal Pain ◽  
Life Threatening ◽  
Life Threatening Complication

Duodenal perforation is a rare but life-threatening complication of endoscopic retrograde cholangiopancreatography (ERCP). Duodenal perforation can cause air leak into the extraperitoneal space. In rare instances, the air in the extraperitoneal space could dissect along the fascial planes of the abdomen to reach scrotum, leading to pneumoscrotum. We present the case of a 35-year-old male patient who developed scrotal pain and swelling following ERCP. He was found to have extensive pneumoscrotum, pneumoretroperitoneum, pneumomediastinum, and subcutaneous emphysema. The patient was diagnosed with retroperitoneal duodenal perforation. He was managed conservatively with close monitoring and supportive care.

123 Supporting A Learning System in Paediatric Emergency Pathways; Using Organisational Comparisons, Serious Incidents and Near Miss Events To Improve The Diagnosis And Treatment Of Testicular Torsion

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
D Winters ◽  
A Mehmi ◽  
R Menzies-Wilson ◽  
S Folkard ◽  
K Ryan ◽  
...  
Keyword(s):  
Testicular Torsion ◽  
Statistical Significance ◽  
Lower Abdominal Pain ◽  
Learning System ◽  
Near Miss ◽  
Freedom Of Information ◽  
Atypical Presentation ◽  
Scrotal Pain ◽  
Paediatric Emergency ◽  
Qualitative Thematic Analysis

Abstract Introduction Scrotal pain is a common presentation to the emergency department requiring prompt investigation and management to identify testicular torsion. Using national data we aim to identify key suboptimal areas in the acute diagnosis and management of testicular torsion with a view to improving outcomes. Method A freedom of information request was made to all Trusts in England that manage testicular torsion. Serious Incidents (SI's) were analysed to see if those with Paediatric Emergency Departments fared better than those without. In addition, a qualitative thematic analysis of the NHS England Strategic Executive Information System database from 2007-2019 was undertaken, identifying common themes associated with orchidectomies and ‘near miss’ events in children. Results 304 serious incidents were returned with 62 Orchidectomies and 242 Near Miss Events. Misdiagnosis of symptomatic testicle was not significant when comparing ED to specialists (OR = 1.46, p = 0.3842). Atypical presentation resulting in orchidectomy was significant when comparing ED to specialists (OR = 6, p = 0.0355). Near miss events are due to a variety of factors. There was no statistical significance in incidents when comparing ED's caring for all ages with Paediatric EDs U = 807.5, z = -1.124, p = 0.261. Conclusions There's a need for education in ED about atypical presentation of testicular torsion and examination of scrotum in cases of lower abdominal pain. It's also vital that specialist teams are cognisant of the standard operating procedures relevant to scrotal pain. Finally, there should be a drive for annual audit in Urology and ED units with regards to testicular torsion as SI's may be under-reported.

Scrotal Pain

2007 ◽  
pp. 83-86
Author(s):  
Chris Sonnex
Keyword(s):  
Scrotal Pain

scholarly journals Effect of Microsurgical Subinguinal Varicocele Repair on Chronic Dull Scrotal Pain in Men with Grade II-III Lesions

2015 ◽  
Vol 9 (4) ◽  
pp. 188-191 ◽  
Author(s):  
Saad Elzanaty ◽  
Claus E. Johansen
Keyword(s):  
Pain Assessment ◽  
Complete Resolution ◽  
Testicular Atrophy ◽  
Scrotal Pain ◽  
Grade Ii ◽  
Varicocele Repair

Introduction: We aimed to evaluate the effectiveness of microsurgical subinguinal varicocele repair in patients with grade II-III lesions and chronic dull scrotal pain. Materials and Methods: A total of 29 patients with grade II-III varicocele and chronic dull scrotal pain that had a microsurgical subinguinal varicocele repair were included in the study. They were followed-up for 6-12 months including pain assessment and scrotal examination. Results: Of the 29 patients, 28 (97%) reported complete resolution of pain with no palpable varicocele on scrotal examination. No cases of testicular atrophy or hydrocele formation were reported. Conclusion: These results indicated that microsurgical varicocele repair should be considered in patients with grade II-III lesions and chronic dull scrotal pain.

scholarly journals Comparison of the clinical characteristics of patients with varicocele according to the presence or absence of scrotal pain

Andrologia ◽  
2018 ◽  
Vol 51 (2) ◽  
pp. e13187
Author(s):  
Seung Ryong Baek ◽  
Hyun Jun Park ◽  
Nam Cheol Park
Keyword(s):  
Clinical Characteristics ◽  
Scrotal Pain
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