Clinical characteristics of acute scrotum: analysis of 316 cases / 中华男科学杂志

ABSTRACT

<p><b>OBJECTIVE</b>To investigate the differential diagnosis and treatment of acute scrotum.</p><p><b>METHODS</b>We retrospectively analyzed the clinical characteristics of 316 cases of acute scrotum and reviewed the related literature.</p><p><b>RESULTS</b>Among the total number, there were 117 cases of acute epididymitis (37.0%), 76 acute orchitis (24.1%), 39 acute periorchitis (12.3%), 23 acute scrotal infection (7.3%), 21 testicular trauma (6.6%), 17 idiopathic scrotal edema (5.4%), 16 testicular torsion (5.1%), and 7 scrotal gangrene (2.2%). Eighty-one of them underwent surgery and 235 received conservative treatment, of whom 1 with scrotal gangrene died of toxic shock for refusing surgical drainage. Those with testicular torsion all showed positive results in Prehn's test and responded well to surgery.</p><p><b>CONCLUSION</b>Acute scrotum is detrimental to male health, for which early diagnosis and prompt treatment are essential.</p>