Clinical Study on Acute Scrotal Swellings in Adichunchanagiri Hospital and Research Centre

Abstract

BACKGROUND AND OBJECTIVESAcute scrotal swellings are the commonest swellings affecting both children and adults. Though these swellings are frequently encountered, many a times correct diagnosis is not made and testes have been sacrificed. Therefore, the aim is to study the clinical presentation, pathophysiology, differential diagnosis and management of acute scrotum with use of history, clinical examination and investigations.

“Study of Etiology of Acute Scrotum and Its Management”

“…[10] Hazarika et al reported, acute scrotal swelling common on right side (46.67%) as compared to left side (34.44%) and bilateral swellings in 18.89% cases. [6]In our study, testicular torsion (66.67%) and pyocoele (55%) were found more commonly on the right side and epididymitis/orchitis (59.4%) and others (100%) were more common on left side of scrotum. This finding was similar to other studies for testicular torsion and pyocoele, but not for epididymo-orchitis and others.…”

“…The prognosis has been reported to be good in patients of testicular torsion presenting within a short duration. [6] In another study, 41.72% patients presented in <6 hours while 19.42% presented between 6-12 hours of symptoms onset. [9] In a developing country like India, the time taken scrotal exploration may be severely affected, especially in areas with lack of infrastructure.…”

“…[7] Hazarika et al observed acute epididymo-orchitis (43.33%) as the commonest cause for acute scrotal pathology followed by testicular torsion (21.11%) and Fournier's gangrene (16.67%). [6] Cavusoglu et al found epididymo-orchitis in 37.4%, testicular appendages torsion in 32.3% and testicular torsion in 29.2%. [10] Beni-Israel et al found most common cause of acute scrotum as epididymitis (32.3%), scrotal pain of unknown etiology (34%) trauma (9%), torsion of appendix of testis (7%) and testicular torsion only in 3.3% cases.…”