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Is it possible to distinguish testicular torsion from other causes of acute scrotum in patients who underwent scrotal exploration? A multi-center clinical trial
- Source :
- Central European Journal of Urology
- Publication Year :
- 2015
- Publisher :
- Polish Urological Association, 2015.
-
Abstract
- Introduction To assess the clinical presentation of patients who underwent surgical exploration for acute scrotum and to investigate the potentially related factors for differential dignosis. Material and methods We retrospectively analyzed the medical records of 97 patients who underwent surgical exploration for acute scrotum between May 2007 and July 2013. The patients were divided into two groups as follows: Group1 included patients with testicular torsion (TT) and Group 2 contained patients with acute scrotal pathologies other than TT, including torsion of the testicular appendage, epid-idymo-orchitis, trauma and Henoch-Schönlein purpura. The physical examination findings, colour Doppler ultrasound (CDUS) and laboratory findings for the groups were compared. Results In total, 97 scrotal explorations were carried out for acute scrotum. Group 1 included 72 patients (74.2%) and Group 2 included 25 patients (25.8%). Group 2 was comprised of patients with torsion of the testicular appendage (n = 13), epididymo-orchitis (n = 8), testicular trauma (n = 2) and Henoch-Schönlein purpura (n = 2). In Group 1, 32 cases (44.4%) presented to a hospital less than 6 hours after onset of pain.More than half (64%) of Group 2’s cases presented more than 24 hours after pain onset. Fever and pyuria appeared more frequently in Group 2 than in Group 1 and the results reached statistical significance (p = 0.001 and p = 0.044, respectively). Group 1 had more testicular tenderness than Group 2 (p
- Subjects :
- medicine.medical_specialty
endocrine system
Urology
Physical examination
urologic and male genital diseases
Statistical significance
medicine
Testicular torsion
epididymoorchitis
Orchiectomy
Original Paper
medicine.diagnostic_test
business.industry
urogenital system
General Medicine
Testicular trauma
medicine.disease
Pyuria
testicular torsion
Surgery
Clinical trial
torsion of testicular appendages
acute scrotum
medicine.symptom
Differential diagnosis
business
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Central European Journal of Urology
- Accession number :
- edsair.doi.dedup.....769dba3fb30e67ec2655ac7523782cfc