Acute Scrotal Emergencies: Randomised Prospective Study

Background and Aim: Patients presenting with acute scrotal pain to the emergency department require a timely diagnosis. Although the differential diagnosis can be extensive and varies with age, there are a few conditions that are considered true surgical emergencies. Material and Methods: This study consisted of 60 patients of acute scrotal emergencies who were admitted in Department of Surgery in MB Govt. Hospital attached to RNT Medical College, Udaipur from July 2015 to December 2016. Results: Epididymoorchitis (48%) was the commonest acute scrotal emergency followed by torsion testis (17%), testicular abscess (13%), testicular trauma (13%), obstructed hernia (7%) and painful scrotal sinus. Maximum patients of acute scrotal emergency were present in age group 21-40 years (48%) followed by age group 41-60 years (32%). Maximum patients of epididymoorchitis were present in age group 21-30 years. Torsion testis was more common in younger group (10-20) years. Conclusions: We found that Epididymoorchitis (48%) was the commonest acute scrotal emergency followed by torsion testis (17%), testicular abscess (13%), testicular trauma (13%), obstructed hernia (7%) and painful scrotal sinus. Early diagnosis along with aggressive treatment better the final outcome. Further studies with larger sample size are warranted.