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Title: Testicular torsion and the acute scrotum: current emergency management
Austin Authors: Ta, Anthony D;D'Arcy, Frank T;Hoag, Nathan;D'Arcy, John P;Lawrentschuk, Nathan
Affiliation: Urology Unit, Department of Surgery, University of Melbourne, Austin Health, Heidelberg, Victoria, Australia
Olivia Newton-John Cancer Research Institute, Heidelberg, Victoria, Australia
Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia
Emergency Department, Austin Health, Heidelberg, Victoria, Australia
Issue Date: Jun-2016
Publication information: European Journal of Emergency Medicine 2016; 23(3): 160-165
Abstract: The acute scrotum is a challenging condition for the treating emergency physician requiring consideration of a number of possible diagnoses including testicular torsion. Prompt recognition of torsion and exclusion of other causes may lead to organ salvage, avoiding the devastating functional and psychological issues of testicular loss and minimizing unnecessary exploratory surgeries. This review aims to familiarize the reader with the latest management strategies for the acute scrotum, discusses key points in diagnosis and management and evaluates the strengths and drawbacks of history and clinical examination from an emergency perspective. It outlines the types and mechanisms of testicular torsion, and examines the current and possible future roles of labwork and radiological imaging in diagnosis. Emergency departments should be wary of younger males presenting with the acute scrotum.
DOI: 10.1097/MEJ.0000000000000303
ORCID: 0000-0001-8553-5618
PubMed URL:
Type: Journal Article
Subjects: Scrotum
Spermatic Cord Torsion
Appears in Collections:Journal articles

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