[Clinical studies on acute scrotum--focusing on torsion of the spermatic cord].
Surgical exploration was done on 50 patients with acute scrotum between June 1982 and October 1995. Of them, 24 (48%) had torsion of the spermatic cord, 9 (18%) had torsion of the appendage testis, 11 (22%) had intrascrotal hematoma, 4 (8%) had acute epididymitis, and 2 (4%) had bleeding of testicular tumor. The patients who had torsion of the spermatic cord were between 0 and 26 years of age (the mean: 14.6); 9 had torsion on the right side, and 15 on the left side. Infectious manifestations occurred in about 30%, and Prehn's sign developed in 37.5%. Of all cases, orchiopexy was performed in 10 cases and orchiectomy in 14. The testis was saved in 8 (88.9%) of the 9 patients who underwent surgery within 12 hours after onset. On the contrary, the testis was saved in only 2 (13.3%) of the 15 patients who underwent surgery more than 12 hours after onset. We concluded that early consultation, and exploration by a urologist are obligatory in the treatment of torsion of the spermatic cord.
Nishimura
K
K
Department of Urology, Minoh City Hospital.
Namba
Y
Y
Nozawa
M
M
Sugao
H
H
Oka
T
T
Osafune
M
M
D000208:Acute Disease; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005832:Genital Diseases, Male / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007223:Infant; D008297:Male; D012611:Scrotum; D013086:Spermatic Cord Torsion / Q000209:etiology / Q000601:surgery; D013733:Testicular Diseases / Q000209:etiology / Q000601:surgery; D014102:Torsion Abnormality