conclusions the ops is a good stand-alone pain score and is better than the nrs for defining mild and moderate pain. it may even be used to supplement nrs when it is indicative of mild or moderate pain. patient and methods a total of 1021 paired readings of the ops and nrs of 93 patients who underwent laparotomy and used patient-controlled analgesia were evaluated. acute pain service (aps) pers...

A 77-year-old male presented to our emergency department (ED) with a 3-hour history of acute severe lower abdominal pain, inability to void, a swollen scrotum, and one episode of vomiting. His relevant past medical history included: hypertension, diabetes mellitus, and distant right inguinal hernia repair. Vital signs were: 96.40 F, 101, 22, and 205/90. Examination revealed a normal abdomen and...

BACKGROUND AND AIMS Chronic scrotal pain is a common yet poorly understood urologic disease. Current treatment paradigms are sub-optimal and include anti-inflammatory drugs and opioids as well as invasive surgical management such as microdenervation of the spermatic cord. In this study, the efficacy of external vibratory stimulation (EVS) was evaluated as an alternative treatment option for idi...

PURPOSE We evaluated adult patients with acute epididymitis to identify the frequency of actual sexual contacts and the causative organism, and compared clinical examinations, degrees of manifested symptoms, and radiological test results. MATERIALS AND METHODS We reviewed the medical records of 65 patients older than 18 years presenting with acute epididymitis who had been treated between 200...

PURPOSE To evaluate the role of Doppler ultrasonography (DUS) in diagnosing pediatric testicular torsion (TT), and its diagnostic accuracy, and helping clinicians increase specificity and decrease negative exploration rates. MATERIALS AND METHODS We performed a retrospective study of all consecutive patients with acute testicular symptoms referring to our pediatric emergency department (ED) f...

Scrotal masses can represent a wide range of medical issues, from benign congenital conditions to life-threatening malignancies and acute surgical emergencies. Having a clear understanding of scrotal anatomy allows the examiner to accurately identify most lesions. Benign lesions such as hydroceles and varicoceles are often found incidentally by the patient or physician on routine examination. E...