open access

Vol 8, No 3 (2006)
Published online: 2006-08-02
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Acute scrotum - a still relevant clinical problem

Marek Krakós, Jerzy Niedzielski
Chirurgia Polska 2006;8(3):191-197.

open access

Vol 8, No 3 (2006)
Published online: 2006-08-02

Abstract

Background: The complaints caused by the acute scrotum syndrome (ASS) are among the most frequent indications for emergency surgical intervention in boys of different ages. The most dangerous type of ASS, from the point of view of possible complications, is torsion of testicle.
Material and methods: A retrospective analysis of the causes of ASS, as well as the methods of treatment used on 153 boys with this condition, was the focus of this study. The boys were aged from 5 days to 16 years and underwent treatment at the Department of Pediatric Surgery of University Children’s Hospital No. 4 in Łódź from1998 to 2004.
Results: Of 140 patients who underwent revision of the scrotum, torsion of the appendix of the testicle was found in 103 (67%), torsion of the testicle itself in 20 (21%) and epididymitis in 18 boys (12%). The most severe symptoms (pain) were observed in patients with torsion of the testicle while they also presented themselves to the hospital fastest.
Conclusions: The observations of the authors of this study show, among other things, that:
- the borderline beyond which the ischaemic changes in the tortuous testicle were irreversible, lay between the 4th and 5th hour since the onset of disease;
- it is possible that ASS symptoms could have regressed spontaneously without surgical intervention in a number of boys residing in the countryside. If US-Doppler is not available, symptoms of ASS are still, in the authors’ opinion, an indication for operative revision of the scrotum.

Abstract

Background: The complaints caused by the acute scrotum syndrome (ASS) are among the most frequent indications for emergency surgical intervention in boys of different ages. The most dangerous type of ASS, from the point of view of possible complications, is torsion of testicle.
Material and methods: A retrospective analysis of the causes of ASS, as well as the methods of treatment used on 153 boys with this condition, was the focus of this study. The boys were aged from 5 days to 16 years and underwent treatment at the Department of Pediatric Surgery of University Children’s Hospital No. 4 in Łódź from1998 to 2004.
Results: Of 140 patients who underwent revision of the scrotum, torsion of the appendix of the testicle was found in 103 (67%), torsion of the testicle itself in 20 (21%) and epididymitis in 18 boys (12%). The most severe symptoms (pain) were observed in patients with torsion of the testicle while they also presented themselves to the hospital fastest.
Conclusions: The observations of the authors of this study show, among other things, that:
- the borderline beyond which the ischaemic changes in the tortuous testicle were irreversible, lay between the 4th and 5th hour since the onset of disease;
- it is possible that ASS symptoms could have regressed spontaneously without surgical intervention in a number of boys residing in the countryside. If US-Doppler is not available, symptoms of ASS are still, in the authors’ opinion, an indication for operative revision of the scrotum.
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Keywords

acute scrotum syndrome; boys; torsion of the testicle; torsion of the appendix of the testicle; epididymitis

About this article
Title

Acute scrotum - a still relevant clinical problem

Journal

Chirurgia Polska (Polish Surgery)

Issue

Vol 8, No 3 (2006)

Pages

191-197

Published online

2006-08-02

Bibliographic record

Chirurgia Polska 2006;8(3):191-197.

Keywords

acute scrotum syndrome
boys
torsion of the testicle
torsion of the appendix of the testicle
epididymitis

Authors

Marek Krakós
Jerzy Niedzielski

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