Both pediatric and adult urologists frequently evaluate pediatric patients with an acute scrotum. We present a detailed review on the acute pediatric scrotum highlighting the clinical presentation, differential diagnosis and management of this common clinical condition. It is important to highlight that a testicular torsion is the most important differential diagnosis and the main priority in e...

One of the most common differentials for the acute scrotum is an epididymo-orchitis (EO), which can mimic the presentation of testicular torsion. We present a case of a 37-year-old man presented to the Emergency department with a 3-day history of progressive left testicular pain. A Doppler ultrasound was done which revealed increased flow to the left testicle with no evidence of testicular tors...

Quercetin (QE) and resveratrol (RSV) are powerful antioxidants with the potential to protect the testes against ischemia/reperfusion (I/R) injury. We compared their effects in testicular torsion/detorsion (T/D) in adult rats. Twenty-four male Wistar rats were divided into four groups: sham (group A), T/D (group B), T/D treated with QE (group C), and T/D treated with RSV (group D). QE (20 mg kg-...

The acutely painful scrotum is a common urologic emergency. The primary objective of management is to avoid testicular loss. This requires a high index of clinical suspicion and prompt surgical intervention. In our series conducted between January 1996 and December 2005, 119 patients (age range: 4-62 years) underwent emergency operative exploration for acute scrotal pain. The most common findin...

This study was conducted to investigate the protective effect of erythropoietin (EPO) on ischemia/reperfusion related changes after testicular torsion/detorsion. In a randomized experimental trial 30 male rats were randomly allocated into six equal groups of five rats each. Group I (orchiectomy for histopathologic examination), group II (sham operation), group III (torsion for 2 hours, and isch...

Submit Manuscript | http://medcraveonline.com reduced [3]. The reduction in fertility is documented in patients following orchidectomy with a contralateral viable testicle. In this case the contralateral testicle was atrophic following previous misdiagnosed torsion. Patients with severe testicular atrophy have undergone successful microdissection of sperm, in one study up to 56% of patients wit...

Submit Manuscript | http://medcraveonline.com reduced [3]. The reduction in fertility is documented in patients following orchidectomy with a contralateral viable testicle. In this case the contralateral testicle was atrophic following previous misdiagnosed torsion. Patients with severe testicular atrophy have undergone successful microdissection of sperm, in one study up to 56% of patients wit...

INTRODUCTION To investigate the effectiveness of manual detorsion (MD) and applicability of extra-scrotal fixation for testicular torsion in a rabbit model. MATERIAL AND METHODS Twelve New Zealand male rabbits were randomized into six groups of two rabbits each. A single-side testicular torsion (TT) model (different degrees, time and sides) was performed in all groups except the Sham group. T...

Case Report A 19-year-old mother of 2 gave birth to a 3892-g (8 lb, 11 oz) son. The pregnancy of 41 weeks and vaginal delivery were uncomplicated. The baby's Apgar scores were 9 and 10 at 1 and 5 minutes, respectively. On initial examination in the newborn nursery, the infant's scrotum was noted to be purple, indurated, and enlarged to 3 em on the left side. The skin covering the left side of t...