CLINICAL STUDY OF ACUTE SCROTUM

We reviewed 37 cases of acute scrotum experienced in Tone Chuo Hospital between June 1 1987 and December 31, 1994. The final diagnoses in 37 were trauma in 6, tumor in 3, acute epididymitis in 21, torsion of testicular cord in 4, torsion of appendage in 2 and acute orchitis in 1. Patient mean age were 41.4 in trauma, 30.0 in tumor, 43.8 in acute epididymitis, 10.5 intorsion of testicular cord, 8.0 in torsion of appendage and 27 in acute orchitis. The interval between onset and hospital visit were 5.8 hours in trauma, 84 hours in tumor, 72.6 hours in acute epididymitis, 7.25 hours in torsion of testicular cord, 42 hours in torsion of appendage and 24 hours in acute orchitis. The testes in 4 cases torted intravaginally and had anatomical abnormality of testis fixation. We performed orchiopexy for the affected sides and other sides, which also had an abnormality of testis fixation. We were able to preserve all testes except for 3 cases of tumor.