[Clinical characteristics of acute scrotum: analysis of 316 cases].
OBJECTIVE
To investigate the differential diagnosis and treatment of acute scrotum.


METHODS
We retrospectively analyzed the clinical characteristics of 316 cases of acute scrotum and reviewed the related literature.


RESULTS
Among the total number, there were 117 cases of acute epididymitis (37.0%), 76 acute orchitis (24.1%), 39 acute periorchitis (12.3%), 23 acute scrotal infection (7.3%), 21 testicular trauma (6.6%), 17 idiopathic scrotal edema (5.4%), 16 testicular torsion (5.1%), and 7 scrotal gangrene (2.2%). Eighty-one of them underwent surgery and 235 received conservative treatment, of whom 1 with scrotal gangrene died of toxic shock for refusing surgical drainage. Those with testicular torsion all showed positive results in Prehn's test and responded well to surgery.


CONCLUSIONS
Acute scrotum is detrimental to male health, for which early diagnosis and prompt treatment are essential.
Chen
Yi-Sheng
YS
Department of Urology, The Second Peoples Hospital of Wuhu, Wuhu, Anhui 241000, China.
Tao
Ling-Song
LS
Kong
Jian
J
Liu
Wei-Ping
WP
Zou
Bin
B
D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D002648:Child; D002675:Child, Preschool; D004823:Epididymitis / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D007223:Infant; D008297:Male; D008875:Middle Aged; D009920:Orchitis / Q000175:diagnosis / Q000628:therapy; D012189:Retrospective Studies; D012611:Scrotum / Q000473:pathology*; D013086:Spermatic Cord Torsion / Q000175:diagnosis / Q000628:therapy; D055815:Young Adult