Acute Swelling & Pain In Scrotal Region
Acute swelling & pain in scrotal region is one condition that requires a quick decision and urgent surgery. The important causes include testicular torsion and epididymoorchitis. Differentiating the two is very difficult clinically. A Colour Doppler study for the . In cases of torsion - the testis is explored, untwisted, and observed. The colour, consistency, pulsations are looked for to confirm that the testis is viable. After confirming that the testis is alright, it is reposited into the scrotum and fixed in position with a stitch going through the testis and the skin of the scrotum to prevent a recurrence of the torsion. Even more important, the opposite side testis must always be fixed at the same sitting with a suture. In case of EO, an oral broad spectrum antibiotic is started for the infective pathology, additionally, an anti-inflammatory drug is begun to take care of the inflammation and the oedema.
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