title: Treatment of acute scrotum in children: 5 years' experience.
abstract: BACKGROUND
  A retrospective review was carried out to determine the incidence of various causes and outcome of management in patients with acute scrotum.
  
  
  METHODS
  Fifty 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.
  
  
  RESULTS
  Clinical 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.
  
  
  CONCLUSIONS
  In 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.
authors.affiliation: Department of Pediatric Surgery, Dr. Behçet Uz Children Training and Research Hospital, İzmir, Turkey. verikci@yahoo.com
authors.forename: Volkan Sarper
authors.initials: VS
authors.lastname: Erikci
authors.forename: Münevver
authors.initials: M
authors.lastname: Hoşgör
authors.forename: Nail
authors.initials: N
authors.lastname: Aksoy
authors.forename: Ozkan
authors.initials: O
authors.lastname: Okur
authors.forename: Melih
authors.initials: M
authors.lastname: Yıldız
authors.forename: Ahmet
authors.initials: A
authors.lastname: Dursun
authors.forename: Yusuf
authors.initials: Y
authors.lastname: Demircan
authors.forename: Yılmazcan
authors.initials: Y
authors.lastname: Ornek
authors.forename: Incinur
authors.initials: I
authors.lastname: Genişol
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005832:Genital Diseases, Male / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D012189:Retrospective Studies; D012611:Scrotum / Q000473:pathology*