Retrospective review of paediatric patients with acute scrotum

Mushtaq, Imran; Fung, Mary; Glasson, M. J.

doi:10.1046/j.1445-2197.2003.02612.x

Cited by 99 publications

(111 citation statements)

References 12 publications

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“…8,9 Reassuringly also, patients with testicular torsion tend to seek medical attention earlier than boys with ASP owing to other causes. 13 Our study demonstrates a clear lack of awareness of the consequences of ASP among parents in our region, which is likely to be representative of a wider trend. This parental unfamiliarity could result in delayed hospital presentation, thereby raising the risk of testicular infarction.…”

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confidence: 58%

Parental perception of acute scrotal pain in children

Ubee

Hopkinson

Srirangam

2014

annals

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INTRODUCTION Acute scrotal pain (ASP) remains one of the more common urological emergencies in the paediatric age group. Acute testicular torsion is the only true urological emergency, where delay in presentation or management can lead to loss of the affected testicle. Since prompt presentation, diagnosis and treatment are critical for testicular salvage, multiple patient and hospital specific factors may influence orchidectomy rates. Parental awareness of the sequelae of ASP may be a significant factor in delayed presentation of children to hospital. We examine the awareness among parents of the implications of ASP in this snapshot study. METHODS A prospective study was planned, and all boys between the ages of 2 and 16 years presenting to the unit with ASP and undergoing emergency scrotal exploration were considered for inclusion in the study. The accompanying parents/guardians of all these boys were asked to complete a questionnaire assessing their awareness of ASP and its potential consequences. RESULTS Over a period of 26 months (July 2010 to September 2012), 76 boys were eligible for the study. The response rate was 81.6%. Only a third (30%) presented to hospital within six hours of onset of pain and just under a quarter (22%) of the cohort attended the emergency department directly. Parents overwhelmingly (96%) felt that there ought to be increased public awareness of the condition. The majority of parents questioned (n=41, 66%) did not fully appreciate the implications of ASP. CONCLUSIONS This is a first snapshot study demonstrating the apparent lack of awareness among parents about the implications of ASP, which could influence the rate of testicular salvage.

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confidence: 58%

Parental perception of acute scrotal pain in children

Ubee

Hopkinson

Srirangam

2014

annals

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“…Akut skrotum; inguinoskrotal bölgede ani gelişen ağrı, şişlik ve kızarıklık ile ortaya çıkan ve değişik etyolojik nedenlerle oluşabilen bir patolojilerdir (1,2). Birçok inguinoskrotal patoloji benzer klinik tabloya sebep olabilir.…”

Section: Introductionunclassified

AKUT SKROTUM; ÇOCUK ÜROLOJİSİNİN ÖNEMLİ BİR ACİL DURUMU [An important emergency pathology in the pediatric urology: acute scrotum]

Çaman¹,

Cici²,

Pelin³

et al. 2014

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ÖZETAkut skrotum, inguinoscrotal bölgede ani başlayan kızarıklık, şişlik ve ağrı ile kendini belli eden yenidoğan dönemi ve adolesan dönemi başta olmak üzere her yaş-ta görülebilen çocuklardaki en önemli acil durumlardan biridir. İnguinal kanal ve skrotumda inflamasyon ve tü-möral şişliklerin yer aldığı tüm patolojilerle ayırıcı tanısı yapılmalıdır. Tanıda gecikme veya yanlış tanı konulması, özellikle spermatik kordun torsiyonuna bağlı testiste kalıcı iskemik hasar ve nekrozlara sebep olur. Potansiyel testis kaybı ihtimalinden dolayı akut skrotum düşünülen bütün vakalarda testis torsiyonu daima tanıda akla getirilmelidir. Akut skrotum olgularında özellikle spermatik kord torsiyonu sonrası iskemik nekroz ve testis kaybı sözkonusu olduğundan ayırıcı tanının önemi ve erken cerrahi müdahaleye dikkat çekmek amaçlanmıştır.Anahtar Kelimeler: Erkek çocuk, testis torsiyonu, akut skrotal şişlik, akut scrotum An Important Emergency Pathology in The Pediatric Urology: Akut Scrotum. ABSTRACTAcute scrotum may be seen at any age in boys, especially increases in newborns and adolescenses. The differential diagnosis should be done with inguinal canal pathologies like inflamatory conditions and mass in acute scrotum. A delayed or wrong diagnosis may lead to irreversible damage and ischemic necrosis of the testicle especially due to torsion of the spermatic cord. Due to the potential testicular loss, torsion of spermatic cord must be considered at differential diagnosis of acute scrotum.The purpose ofthis article is to attract attention, in order toreduce the loss of testes inpatients withacutescrotum,especially in spermatic cord torsionand testicularischemic necrosis with early surgicalintervention.

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“…Cavusoglu YH et al and Mushtaq I et al have observed a higher rates of testicular torsion in 29% and 20%, respectively. 5,7 Testicular torsion is most commonly seen in neonates and in adolescents but it can occur at any age. 8,9 We had observed maximum number of cases of testicular torsion in less than 20 years age group.…”

mentioning

confidence: 99%