Cargando…

The Spectrum of Testicular Pathologies Upon Scrotal Exploration for Acute Scrotum: A Retrospective Analysis

Background The term acute scrotum encompasses a plethora of testicular pathologies that are detrimental to the survival and sustenance of testes. The aim of the present study is to determine the spectrum of these testicular pathologies upon scrotal exploration performed in the aftermath of acute scr...

Descripción completa

Detalles Bibliográficos
Autores principales: Syed, Muhammad Khalid, Al Faqeeh, Ahmad A, Othman, Alsayed, Hussein, Ahmed A, Hussain, Salman, Almas, Talal, Alsufyani, Reema, Alaeddin, Hasan, Syed, Saifullah, Syed, Sabahat K
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7667721/
https://www.ncbi.nlm.nih.gov/pubmed/33209540
http://dx.doi.org/10.7759/cureus.10984
_version_ 1783610368229113856
author Syed, Muhammad Khalid
Al Faqeeh, Ahmad A
Othman, Alsayed
Hussein, Ahmed A
Hussain, Salman
Almas, Talal
Alsufyani, Reema
Alaeddin, Hasan
Syed, Saifullah
Syed, Sabahat K
author_facet Syed, Muhammad Khalid
Al Faqeeh, Ahmad A
Othman, Alsayed
Hussein, Ahmed A
Hussain, Salman
Almas, Talal
Alsufyani, Reema
Alaeddin, Hasan
Syed, Saifullah
Syed, Sabahat K
author_sort Syed, Muhammad Khalid
collection PubMed
description Background The term acute scrotum encompasses a plethora of testicular pathologies that are detrimental to the survival and sustenance of testes. The aim of the present study is to determine the spectrum of these testicular pathologies upon scrotal exploration performed in the aftermath of acute scrotal pain in the pediatric population. Methods This multicenter retrospective cross-sectional study was conducted at the department of pediatric surgery at two hospitals. During the study period, the clinical characteristics of the 76 patients that underwent scrotal exploration for acute scrotum were assessed. These included age, duration of symptoms on presentation, and identification of the etiology underlying scrotal pain. The data obtained was eventually analyzed using the Statistical Package for the Social Sciences (SPSS) 23.0 software (IBM Corp., Armonk, NY). Results A total of 76 scrotal exploration procedures were performed. The involvement of the left side of the scrotum was more common than the right side. Most of the patients who presented were older than five years of age. A majority of the patients presented after 24 hours of the commencement of their symptoms. Of the included participants, 36 patients (47.47%) were found to have an underlying torsion of appendix testes that was appropriately managed. Testicular torsion was observed in 15 patients, out of which eight viable testes were salvaged with a subsequent orchidopexy while seven torsions required orchiectomy owing to their non-viability. Other findings included epididymo-orchitis and infected hydrocele. A total of 19 testes appeared completely normal upon scrotal exploration. Conclusion Scrotal exploration should be considered as part of the medical and surgical workup and in the management of acute scrotum, as it divulges the specific underlying testicular pathology. Prompt scrotal exploration can aid in ascertaining the underlying etiology and is, therefore, pivotal in the apt management of the underlying pathology.
format Online
Article
Text
id pubmed-7667721
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Cureus
record_format MEDLINE/PubMed
spelling pubmed-76677212020-11-17 The Spectrum of Testicular Pathologies Upon Scrotal Exploration for Acute Scrotum: A Retrospective Analysis Syed, Muhammad Khalid Al Faqeeh, Ahmad A Othman, Alsayed Hussein, Ahmed A Hussain, Salman Almas, Talal Alsufyani, Reema Alaeddin, Hasan Syed, Saifullah Syed, Sabahat K Cureus Internal Medicine Background The term acute scrotum encompasses a plethora of testicular pathologies that are detrimental to the survival and sustenance of testes. The aim of the present study is to determine the spectrum of these testicular pathologies upon scrotal exploration performed in the aftermath of acute scrotal pain in the pediatric population. Methods This multicenter retrospective cross-sectional study was conducted at the department of pediatric surgery at two hospitals. During the study period, the clinical characteristics of the 76 patients that underwent scrotal exploration for acute scrotum were assessed. These included age, duration of symptoms on presentation, and identification of the etiology underlying scrotal pain. The data obtained was eventually analyzed using the Statistical Package for the Social Sciences (SPSS) 23.0 software (IBM Corp., Armonk, NY). Results A total of 76 scrotal exploration procedures were performed. The involvement of the left side of the scrotum was more common than the right side. Most of the patients who presented were older than five years of age. A majority of the patients presented after 24 hours of the commencement of their symptoms. Of the included participants, 36 patients (47.47%) were found to have an underlying torsion of appendix testes that was appropriately managed. Testicular torsion was observed in 15 patients, out of which eight viable testes were salvaged with a subsequent orchidopexy while seven torsions required orchiectomy owing to their non-viability. Other findings included epididymo-orchitis and infected hydrocele. A total of 19 testes appeared completely normal upon scrotal exploration. Conclusion Scrotal exploration should be considered as part of the medical and surgical workup and in the management of acute scrotum, as it divulges the specific underlying testicular pathology. Prompt scrotal exploration can aid in ascertaining the underlying etiology and is, therefore, pivotal in the apt management of the underlying pathology. Cureus 2020-10-16 /pmc/articles/PMC7667721/ /pubmed/33209540 http://dx.doi.org/10.7759/cureus.10984 Text en Copyright © 2020, Syed et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Internal Medicine
Syed, Muhammad Khalid
Al Faqeeh, Ahmad A
Othman, Alsayed
Hussein, Ahmed A
Hussain, Salman
Almas, Talal
Alsufyani, Reema
Alaeddin, Hasan
Syed, Saifullah
Syed, Sabahat K
The Spectrum of Testicular Pathologies Upon Scrotal Exploration for Acute Scrotum: A Retrospective Analysis
title The Spectrum of Testicular Pathologies Upon Scrotal Exploration for Acute Scrotum: A Retrospective Analysis
title_full The Spectrum of Testicular Pathologies Upon Scrotal Exploration for Acute Scrotum: A Retrospective Analysis
title_fullStr The Spectrum of Testicular Pathologies Upon Scrotal Exploration for Acute Scrotum: A Retrospective Analysis
title_full_unstemmed The Spectrum of Testicular Pathologies Upon Scrotal Exploration for Acute Scrotum: A Retrospective Analysis
title_short The Spectrum of Testicular Pathologies Upon Scrotal Exploration for Acute Scrotum: A Retrospective Analysis
title_sort spectrum of testicular pathologies upon scrotal exploration for acute scrotum: a retrospective analysis
topic Internal Medicine
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7667721/
https://www.ncbi.nlm.nih.gov/pubmed/33209540
http://dx.doi.org/10.7759/cureus.10984
work_keys_str_mv AT syedmuhammadkhalid thespectrumoftesticularpathologiesuponscrotalexplorationforacutescrotumaretrospectiveanalysis
AT alfaqeehahmada thespectrumoftesticularpathologiesuponscrotalexplorationforacutescrotumaretrospectiveanalysis
AT othmanalsayed thespectrumoftesticularpathologiesuponscrotalexplorationforacutescrotumaretrospectiveanalysis
AT husseinahmeda thespectrumoftesticularpathologiesuponscrotalexplorationforacutescrotumaretrospectiveanalysis
AT hussainsalman thespectrumoftesticularpathologiesuponscrotalexplorationforacutescrotumaretrospectiveanalysis
AT almastalal thespectrumoftesticularpathologiesuponscrotalexplorationforacutescrotumaretrospectiveanalysis
AT alsufyanireema thespectrumoftesticularpathologiesuponscrotalexplorationforacutescrotumaretrospectiveanalysis
AT alaeddinhasan thespectrumoftesticularpathologiesuponscrotalexplorationforacutescrotumaretrospectiveanalysis
AT syedsaifullah thespectrumoftesticularpathologiesuponscrotalexplorationforacutescrotumaretrospectiveanalysis
AT syedsabahatk thespectrumoftesticularpathologiesuponscrotalexplorationforacutescrotumaretrospectiveanalysis
AT syedmuhammadkhalid spectrumoftesticularpathologiesuponscrotalexplorationforacutescrotumaretrospectiveanalysis
AT alfaqeehahmada spectrumoftesticularpathologiesuponscrotalexplorationforacutescrotumaretrospectiveanalysis
AT othmanalsayed spectrumoftesticularpathologiesuponscrotalexplorationforacutescrotumaretrospectiveanalysis
AT husseinahmeda spectrumoftesticularpathologiesuponscrotalexplorationforacutescrotumaretrospectiveanalysis
AT hussainsalman spectrumoftesticularpathologiesuponscrotalexplorationforacutescrotumaretrospectiveanalysis
AT almastalal spectrumoftesticularpathologiesuponscrotalexplorationforacutescrotumaretrospectiveanalysis
AT alsufyanireema spectrumoftesticularpathologiesuponscrotalexplorationforacutescrotumaretrospectiveanalysis
AT alaeddinhasan spectrumoftesticularpathologiesuponscrotalexplorationforacutescrotumaretrospectiveanalysis
AT syedsaifullah spectrumoftesticularpathologiesuponscrotalexplorationforacutescrotumaretrospectiveanalysis
AT syedsabahatk spectrumoftesticularpathologiesuponscrotalexplorationforacutescrotumaretrospectiveanalysis