The acute scrotum in infancy: A retrospective regional study
| Autor: | Ruth Hallows, Gbenga Awolaran, Iain Yardley, Kailas Bhandarker, Vanessa Coles, Hesham Elagami, Mark Davenport, Feilim Murphy |
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| Rok vydání: | 2022 |
| Předmět: |
endocrine system
medicine.medical_specialty endocrine system diseases Testicular atrophy urogenital system business.industry Urology Acute scrotum urologic and male genital diseases medicine.disease Surgery Current practice Pediatrics Perinatology and Child Health Medicine Testicular torsion Orchiectomy Presentation (obstetrics) Epididymitis business Fixation (histology) |
| Zdroj: | Journal of Pediatric Urology. 18:226-231 |
| ISSN: | 1477-5131 |
| Popis: | Summary Introduction Testicular torsion during infancy ( Aim To review current practice of scrotal explorations in infancy and explore areas for improvement. Method Retrospective review of emergency operations for acute scrotum between January 2016 and December 2018. Data are presented as median (range) and compared using non-parametric tests. P Results A total of 560 paediatric scrotal explorations were performed. Of these, 25 (4%) were under one year at the time of surgery, median 4 months (1 day-5 months) (Fig. 1). The most common diagnosis was “epididymitis” (11/25, 44%). Testicular torsion was found in 28% (7/25), increasing to 66% (4/6) in those under one month. Of those with confirmed testicular torsion, three (43%) underwent a primary orchiectomy with contralateral fixation and three (43%) detorsion and bilateral fixation, with all three cases found to have testicular atrophy at follow-up. The final case was of metachronous torsion, with the initial presentation not operated on and the subsequent presentation undergoing detorsion and fixation. This was the only case of testicular salvage in our series. There were no underlying urological issues in any patient and no reported complications or ongoing urological issues post-surgery. The rate of follow-up was 17/25 (68%). Conclusion We present one of the only clinical series to focus on acute scrotum in the under one year old and not just the neonatal period. Testicular torsion remains a rare event in this age group but invariably leads to testicular loss. Download : Download high-res image (257KB) Download : Download full-size image Summary Figure . Causes of acute scrotum in infancy. |
| Databáze: | OpenAIRE |
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