Urologie pro praxi 5/2018

Acute scrotum in children – diagnosis and treatment

Acute scrotum is an emergency that every pediatrician has to face. Differential diagnosis is difficult to distinguish even for an experienced clinician. Also there are many contradictory facts and recommendations concerning the acute scrotum in the literature. The following article summarizes recent findings and evidence based medicine recommendations without repeating well-known anatomy and physiology facts. It concentrates upon the contradictory points of diagnosis and management of the acute scrotum in children. The authors based the article on 2015 ESPU guidelines, UpToDate® server, PubMed studies and reviews and their own clinical experience. The text adheres to ICCS terminology and English terminology where appropriate.

Keywords: acute scrotum, testicular torsion, testicular hydatid cyst torsion, epididymitis, orchitis.