• Ulus Travma Acil Cer · Jul 2013

    Treatment of acute scrotum in children: 5 years' experience.

    • Volkan Sarper Erikci, Münevver Hoşgör, Nail Aksoy, Ozkan Okur, Melih Yıldız, Ahmet Dursun, Yusuf Demircan, Yılmazcan Ornek, and Incinur Genişol.
    • Department of Pediatric Surgery, Dr. Behçet Uz Children Training and Research Hospital, İzmir, Turkey. verikci@yahoo.com
    • Ulus Travma Acil Cer. 2013 Jul 1;19(4):333-6.

    BackgroundA retrospective review was carried out to determine the incidence of various causes and outcome of management in patients with acute scrotum.MethodsFifty children had a diagnosis of acute scrotum between 1st January 2007 and 15th May 2012. Age, mode of presentation, associated anomalies, and results of treatment were studied. Diagnosis of acute scrotum was confirmed by physical examination, Doppler ultrasound and biochemical investigations.ResultsClinical presentation consisted of sudden swelling and pain in the inguinoscrotal region. The average age was 7.5 years (2 months-14 years). Causes of acute scrotum were orchitis/epididymo-orchitis (O /EO) in 22, strangulated inguinal hernia (SIH) in 16, testicular torsion (TT) in 11, and torsion of testicular appendage (TTA) in 1. Associated urological anomalies were found in 5 patients with O /EO. Medical treatment was applied to patients with O /EO, and surgical treatment was performed in patients with SIH, TT and TTA.ConclusionIn this series, O /EO was found to rank first as the cause of acute scrotum. Immediate surgical treatment in acute scrotum patients, except those with O /EO, is necessary. Associated urological anomalies should be investigated in patients with O /EO.

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