Retrospective Review of Diagnosis and Treatment in Children Presenting to the Pediatric Department With Acute Scrotum

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

Download Full-text

Mo1614 Pylephlebitis: Single Institutional Retrospective Review Identifies Gaps in Traditional Approach to Diagnosis and Treatment

Gastroenterology ◽

10.1016/s0016-5085(14)63889-0 ◽

2014 ◽

Vol 146 (5) ◽

pp. S-1066

Author(s):

Mohammad Alzghari ◽

Mahmoud Amr ◽

Martin D. Zielinski ◽

Donald Jenkins

Keyword(s):

Retrospective Review ◽

Traditional Approach ◽

Diagnosis And Treatment

Download Full-text

Approach to Male Urologic Emergencies

10.2310/em.4367 ◽

2019 ◽

Author(s):

Jonathan E. Davis ◽

Jeffrey S. Dubin

Keyword(s):

Emergency Department ◽

Inguinal Hernia ◽

Necrotizing Fasciitis ◽

Testicular Torsion ◽

Diagnosis And Treatment ◽

Acute Scrotum ◽

Scrotal Pain ◽

Penile Pain ◽

Emergency Department Setting ◽

Acute Scrotal Pain

This review details the evaluation and management of the acute scrotum in the emergency department setting and emergent penile complaints in adults, with an emphasis on the most serious and most common conditions. Other emergent conditions include necrotizing fasciitis of the perineum (Fournier disease), incarcerated or strangulated inguinal hernia, and genitourinary (GU) trauma. Emergency practitioners need to be most concerned with the entities that, if left untreated, can result in ischemia and necrosis of the penis. Basic anatomy and bedside evaluation are reviewed. Acute scrotal and penile pain and GU trauma are discussed in terms of assessment and stabilization, diagnosis, and treatment and disposition. This review contains 5 figures, 19 tables, and 71 references. Keywords: Acute scrotal pain, testicular torsion, priapism, Peyronie disease, paraphimosis, phimosis, balanitis, posthitis, epididymitis

Download Full-text

Retrospective review of pediatric patients with acute scrotum

Journal of Pediatric Surgery ◽

10.1016/s0022-3468(03)00235-5 ◽

2003 ◽

Vol 38 (7) ◽

pp. 1124

Author(s):

I. Mushtaq ◽

M. Fung ◽

M.J. Glasson

Keyword(s):

Retrospective Review ◽

Pediatric Patients ◽

Acute Scrotum

Download Full-text

Retrospective review of the diagnosis and treatment of pulmonary sequestration in 28 patients: surgery or endovascular techniques?

Journal of Thoracic Disease ◽

10.21037/jtd.2017.10.145 ◽

2017 ◽

Vol 9 (12) ◽

pp. 5153-5160 ◽

Cited By ~ 9

Author(s):

Shi-Xin Zhang ◽

Hai-Dong Wang ◽

Kang Yang ◽

Wei Cheng ◽

Wei Wu

Keyword(s):

Retrospective Review ◽

Pulmonary Sequestration ◽

Diagnosis And Treatment ◽

Endovascular Techniques

Download Full-text

Different presentation types of primary Brucella epididimo-orchitis

Archivio Italiano di Urologia e Andrologia ◽

10.4081/aiua.2015.2.151 ◽

2015 ◽

Vol 87 (2) ◽

pp. 151

Author(s):

Huseyin Aydemir ◽

Gokcen Budak ◽

Salih Budak ◽

Orcun Celik ◽

Okan Yalbuzdag ◽

...

Keyword(s):

Zoonotic Disease ◽

Diagnosis And Treatment ◽

Treatment Modalities ◽

Acute Scrotum ◽

Laboratory Findings ◽

Genitourinary System ◽

Endemic Disease ◽

Different Types

Brucellosis is a zoonotic disease that involved genitourinary system in 2-20% and most commonly cause single sided epididymo-orchitis. In our country Brucella is an endemic disease and causes serious and different diagnosis of acute scrotum and epididy-moorchitis. In this paper six cases of epididymo-orchitis cases which were resistant to classical treatment were discussed according to clinical and laboratory findings. We describe different types of presentation of Brucella epididymoorchitis with diagnosis and treatment modalities.

Download Full-text