Evaluation of Adult Acute Scrotum in the Emergency Room: Clinical Characteristics, Diagnosis, Management, and Costs

Lorenzo, Laura Rooney; Rogel, Ramón; Sánchez-González, José Vicente; Perez-Ardavin, Javier; Moreno, Elena; Lujan, Saturnino; Broseta, Enrique; Boronat, F

doi:10.1016/j.urology.2016.05.018

Cited by 21 publications

(20 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Epididymitis is a common condition in males presenting with acute uni- or bilateral scrotal pain and swelling ( Lorenzo et al , 2016 ). Incidence ranges from 250 to 650 per 100 000 males each year ( Nickel et al , 2005 ; Nicholson et al , 2010 ).…”

Section: Infectious Epididymitis Epididymo-orchitis and Orchitismentioning

confidence: 99%

Infectious, inflammatory and ‘autoimmune’ male factor infertility: how do rodent models inform clinical practice?

Fijak

Pilatz

Hedger

et al. 2018

Human Reproduction Update

213

176

View full text Add to dashboard Cite

show abstract

Section: Infectious Epididymitis Epididymo-orchitis and Orchitismentioning

confidence: 99%

Infectious, inflammatory and ‘autoimmune’ male factor infertility: how do rodent models inform clinical practice?

Fijak

Pilatz

Hedger

et al. 2018

Human Reproduction Update

213

176

View full text Add to dashboard Cite

show abstract

“…In our study, 69% had a urinalysis done, and in a different retrospective study assessing the evaluation of acute scrotal pain, only 48% of patients had a UA performed. 20 Therefore, while the data do not prove that skipping a UA is the right move, they do show that it is already commonplace not to order a UA on all scrotal pain patients. Considering this and the relatively infrequent cases in which a UA changes management of acute scrotal pain patients, recommendations that absolutely require a UA for scrotal pain are probably overstated.…”

Section: Discussionmentioning

confidence: 80%

<p>Assessing the Utility of Ultrasound and Urinalysis for Patients with Possible Epididymo-Orchitis – A Retrospective Study</p>

Zitek

Ahmed

Lim

et al. 2020

OAEM

View full text Add to dashboard Cite

Purpose: Many experts recommend ordering an ultrasound and a urinalysis on all patients with scrotal pain. While the ultrasound may help diagnose a number of potential causes of scrotal pain, the urinalysis primarily has value in assessing for epididymo-orchitis. This study sought to evaluate the utility of these diagnostic tests for patients who presented to the emergency department (ED) with acute scrotal pain and possible epididymo-orchitis. Patients and Methods: This was a single-center chart review of patients presenting to the ED with scrotal pain. Trained research assistants reviewed charts to obtain urinalysis and ultrasound results as well as diagnoses and treatments provided. Using the final diagnosis as a gold standard, the sensitivity and specificity of ultrasound and urinalysis were calculated for the diagnosis of epididymo-orchitis. Also, through a prespecified definition of "changed management," we estimated the percentage of cases in which a urinalysis changed management of patients with acute scrotal pain. Results: We identified 663 adult and pediatric patients who presented with scrotal pain during 2016. All patients had an ultrasound performed, and 458 (69.1%) had a urinalysis done. The sensitivity of urinalysis for epididymo-orchitis was 58.2% (95% CI 48.9% to 67.1%), and the specificity was 85.1% (95% CI 80.8% to 88.7%). For ultrasound, the sensitivity was 78.8% (95% CI 71.4% to 85.0%) and the specificity was 98.1% (95% CI 96.4% to 99.1%). In 24 of 458 cases (5.2% [95% CI 3.4% to 7.7%]) where a urinalysis was obtained, its results may have changed management of the patient. Conclusion: The diagnosis of patients who present to the ED with scrotal pain is primarily driven by the ultrasound results. While the urinalysis may occasionally provide some benefit in the evaluation of patients with suspected epididymo-orchitis, the reflexive ordering of a urinalysis in patients with scrotal pain may be unnecessary.

show abstract

“…Clinically, it is important to differentiate hydrocele from other testicular emergencies, such as testicular torsion, infarction, infection and Fournier gangrene that require prompt surgical intervention. [ 31 , 32 ] Pancreatic hydrocele usually subsides spontaneously once pancreatitis resolves under conservative treatment. [ 5 , 11 , 19 , 23 ] However, hydrocele may attribute to congestive varicose vein of testis that increases the risk of male infertility, so treating varicose vein is mandatory for severe cases.…”

Section: Discussionmentioning

confidence: 99%

Hydrocele in recurrent acute pancreatitis caused by testicular venous obstruction

et al. 2020

View full text Add to dashboard Cite

show abstract

Evaluation of Adult Acute Scrotum in the Emergency Room: Clinical Characteristics, Diagnosis, Management, and Costs

Cited by 21 publications

References 15 publications

Infectious, inflammatory and ‘autoimmune’ male factor infertility: how do rodent models inform clinical practice?

Infectious, inflammatory and ‘autoimmune’ male factor infertility: how do rodent models inform clinical practice?

<p>Assessing the Utility of Ultrasound and Urinalysis for Patients with Possible Epididymo-Orchitis – A Retrospective Study</p>

Hydrocele in recurrent acute pancreatitis caused by testicular venous obstruction

Contact Info

Product

Resources

About