An accurate diagnostic pathway helps to correctly distinguish between the possible causes of acute scrotum
Joint Authors
Roth, Beat
Giannakis, Ioannis
Ricklin, Meret Elisabeth
Thalmann, George Niklaus
Exadaktylos, Aristomenis Konstantinos
Source
Issue
Vol. 33, Issue 1 (31 Jan. 2018), pp.55-60, 6 p.
Publisher
Publication Date
2018-01-31
Country of Publication
Oman
No. of Pages
6
Main Subjects
Abstract EN
vObjectives : We sought to identify a simplified approach for the rapid differential diagnosis of patients presenting with acute scrotum.
Methods : A total of 440 patients referred to the emergency department of the University Hospital of Bern, Switzerland, with acute scrotum between 2003 and 2013 were retrospectively analyzed.
Simple and multiple binary logistic regression analyses were used to evaluate clinical and laboratory parameters that may help to distinguish between genital/paragenital infection and acute testicular torsion.
Results : Over half (58.4%; 257/440) of the patients were diagnosed with genital/paragenital infection, 11.8% (52/440) with chronic testicular pain, 9.5% (42/440) with acute testicular torsion, 4.3% (19/440) with a testicular cancer, and 2.5% (11/440) with symptomatic distal ureterolithiasis.
In multivariate analysis, a positive Prehn’s sign was predictive of testicular torsion, whereas fever, dysuria, high leucocyte counts in blood and/or urine, high blood C-reactive protein, and burning pain were predictive of genital/paragenital infection.
Color Doppler ultrasound did not help to distinguish between torsion and infection.
Conclusions: An accurate diagnostic pathway helps to correctly distinguish between the possible causes of acute scrotum.
However, none of the examinations performed could reliably distinguish between acute torsion and other causes of acute scrotum.
Therefore, immediate surgical exploration of the testis is mandatory if torsion cannot be ruled out
American Psychological Association (APA)
Roth, Beat& Giannakis, Ioannis& Ricklin, Meret Elisabeth& Thalmann, George Niklaus& Exadaktylos, Aristomenis Konstantinos. 2018. An accurate diagnostic pathway helps to correctly distinguish between the possible causes of acute scrotum. Oman Medical Journal،Vol. 33, no. 1, pp.55-60.
https://search.emarefa.net/detail/BIM-812363
Modern Language Association (MLA)
Roth, Beat…[et al.]. An accurate diagnostic pathway helps to correctly distinguish between the possible causes of acute scrotum. Oman Medical Journal Vol. 33, no. 1 (Jan. 2018), pp.55-60.
https://search.emarefa.net/detail/BIM-812363
American Medical Association (AMA)
Roth, Beat& Giannakis, Ioannis& Ricklin, Meret Elisabeth& Thalmann, George Niklaus& Exadaktylos, Aristomenis Konstantinos. An accurate diagnostic pathway helps to correctly distinguish between the possible causes of acute scrotum. Oman Medical Journal. 2018. Vol. 33, no. 1, pp.55-60.
https://search.emarefa.net/detail/BIM-812363
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 60
Record ID
BIM-812363