Torsion of the testicle and testicular adnexa in children

Between 1987-May 1994 the treatment results of 73 boys with the symptoms of "acute scrotum" were presented. 67 boys were operated. During the operations in 14 cases the torsion of testicle were observed, in 2 cases necrotically changed testicles were removed. Among 53 boys torsion of the appendices of the testis were observed, the appendices were removed. 6 boys with the diagnosis of torsion the appendices of the testis were conservatively treated with a good result. On the basis of literature review and own experiences the children should be qualified for operation by the anamnesis and physical examination independently from additional and sonography results. The acute symptoms of scrotum or inguinal canal in the absence of the testicle in scrotum should indicate at the need for early surgical intervention in case of acute symptoms concerning testicles and scrotum. The epididimitis and orchitis is rare with children before pubescence. One child with the epididimitis abscess, the epididimis was removed.