Current management of the acute scrotum.
Pediatric surgeons and urologists are often asked to evaluate boys with acute scrotal pain and inflammation. Although there are myriad etiologies for this syndrome, testicular torsion should be at the top of the list. It is the one diagnosis that must be made accurately and rapidly if there is any hope for testicular salvage. The purpose of this article is to update/review the appropriate evaluation and management of the acute scrotum and to guide the clinician in distinguishing testicular torsion from the other conditions that commonly mimic this surgical emergency.
Gatti
John M
JM
Department of Surgery/Urology, University of Missouri at Kansas City School of Medicine, Children's Mercy Hospital, Kansas City, MO 64108, USA. jgatti@cmh.edu
Patrick Murphy
J
J
D000208:Acute Disease; D002648:Child; D004823:Epididymitis / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D008297:Male; D010146:Pain / Q000209:etiology*; D012611:Scrotum; D013086:Spermatic Cord Torsion / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*