Department of Urology, Kamkar Hospital, School of Medicine, Qom University of Medical Sciences, Qom, Iran.
Int J Gen Med. 2014 Jan 15;7:75-8. doi: 10.2147/IJGM.S52413. eCollection 2014.
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.
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.
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%.
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.
本研究旨在评估所有来我院就诊的急性阴囊疼痛的年轻男性的临床病史、人口统计学数据、手术探查结果和最终诊断。
这是一项描述性回顾性研究，评估了 2008 年 3 月至 2012 年 3 月期间在我院接受治疗的所有连续急性阴囊疼痛病例。
共有 116 例病例纳入研究。其中 100 例接受了手术探查，其余 16 例接受了保守治疗。我们的合格病例分为三组：睾丸扭转（TT）组（68%）；睾丸附件扭转（AT）组（20%）；和附睾炎-睾丸炎（EO）组（9%）。TT 组中有 39 例睾丸得以保留，而由于延迟就诊，29 例患者进行了睾丸切除术。因此，我们的睾丸保留率为 57.5%，漏诊睾丸扭转率为 42.5%。
我们的睾丸保留率低于文献报道的预期数字。这可能归因于不同的原因，包括急性阴囊疼痛病例的延迟就诊或就诊、急诊部门工作的全科医生知识不足或父母知识缺乏。
