Evaluation of acute scrotum in our consecutive operated cases: a one-center study

Mohammad Kazem Moslemi, Sharifeh KamalimotlaghDepartment of Urology, Kamkar Hospital, School of Medicine, Qom University of Medical Sciences, Qom, IranPurpose: The purpose of the present study was to evaluate the clinical history, demographic data, surgical exploration findings, and final diagnoses...

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Main Authors: Moslemi MK, Kamalimotlagh S
Format: Article
Language:English
Published: Dove Medical Press 2014-01-01
Series:International Journal of General Medicine
Online Access:http://www.dovepress.com/evaluation-of-acute-scrotum-in-our-consecutive-operated-cases-a-one-ce-a15509
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author Moslemi MK
Kamalimotlagh S
author_facet Moslemi MK
Kamalimotlagh S
author_sort Moslemi MK
collection DOAJ
description Mohammad Kazem Moslemi, Sharifeh KamalimotlaghDepartment of Urology, Kamkar Hospital, School of Medicine, Qom University of Medical Sciences, Qom, IranPurpose: The purpose of the present study was to evaluate the clinical history, demographic data, surgical exploration findings, and final diagnoses in all young males presenting with acute scrotum to our center.Materials and methods: This was a descriptive–retrospective study in which all consecutive cases of acute scrotum treated in our department from March 2008 to March 2012 were evaluated.Results: A total of 116 cases were included in the study. Out of these cases, 100 cases underwent surgical exploration, and the remaining 16 cases were managed conservatively. Our eligible cases were divided into three groups: the testicular torsion (TT) group (68%); the torsion of the appendix testis (AT) group (20%); and the epididymo-orchitis (EO) group (9%). Testicular preservation was achieved in 39 cases of the TT group, while due to delayed referral, orchiectomy was performed in 29 cases. Thus, our testicular salvage rate was 57.5% and missed testicular torsion rate was 42.5%.Conclusion: It was observed that our testicular salvage rate was lower than the expected figures published in the literature. This is may be attributed to different causes, including delayed referral or presentation of acute scrotum cases, inadequate knowledge of the general practitioners working in emergency departments, or poor knowledge of parents.Keywords: epididymo-orchitis, testicular appendage, testicular torsion, missed testicular torsion, testicular salvage rate
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spelling doaj.art-e41e179534304a83867257b7f8ec56e82022-12-21T22:40:06ZengDove Medical PressInternational Journal of General Medicine1178-70742014-01-012014default757815509Evaluation of acute scrotum in our consecutive operated cases: a one-center studyMoslemi MKKamalimotlagh SMohammad Kazem Moslemi, Sharifeh KamalimotlaghDepartment of Urology, Kamkar Hospital, School of Medicine, Qom University of Medical Sciences, Qom, IranPurpose: The purpose of the present study was to evaluate the clinical history, demographic data, surgical exploration findings, and final diagnoses in all young males presenting with acute scrotum to our center.Materials and methods: This was a descriptive–retrospective study in which all consecutive cases of acute scrotum treated in our department from March 2008 to March 2012 were evaluated.Results: A total of 116 cases were included in the study. Out of these cases, 100 cases underwent surgical exploration, and the remaining 16 cases were managed conservatively. Our eligible cases were divided into three groups: the testicular torsion (TT) group (68%); the torsion of the appendix testis (AT) group (20%); and the epididymo-orchitis (EO) group (9%). Testicular preservation was achieved in 39 cases of the TT group, while due to delayed referral, orchiectomy was performed in 29 cases. Thus, our testicular salvage rate was 57.5% and missed testicular torsion rate was 42.5%.Conclusion: It was observed that our testicular salvage rate was lower than the expected figures published in the literature. This is may be attributed to different causes, including delayed referral or presentation of acute scrotum cases, inadequate knowledge of the general practitioners working in emergency departments, or poor knowledge of parents.Keywords: epididymo-orchitis, testicular appendage, testicular torsion, missed testicular torsion, testicular salvage ratehttp://www.dovepress.com/evaluation-of-acute-scrotum-in-our-consecutive-operated-cases-a-one-ce-a15509
spellingShingle Moslemi MK
Kamalimotlagh S
Evaluation of acute scrotum in our consecutive operated cases: a one-center study
International Journal of General Medicine
title Evaluation of acute scrotum in our consecutive operated cases: a one-center study
title_full Evaluation of acute scrotum in our consecutive operated cases: a one-center study
title_fullStr Evaluation of acute scrotum in our consecutive operated cases: a one-center study
title_full_unstemmed Evaluation of acute scrotum in our consecutive operated cases: a one-center study
title_short Evaluation of acute scrotum in our consecutive operated cases: a one-center study
title_sort evaluation of acute scrotum in our consecutive operated cases a one center study
url http://www.dovepress.com/evaluation-of-acute-scrotum-in-our-consecutive-operated-cases-a-one-ce-a15509
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