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Disorders of the Scrotal Contents: Epididymoorchitis, Testicular Torsion, and Fournier’s Gangrene

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Urologic Principles and Practice

Part of the book series: Springer Specialist Surgery Series ((SPECIALIST))

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Abstract

Disorders of the scrotum and scrotal contents can cause significant symptoms, have a significant impact on a patient’s quality of life, and may have long-term fertility, sexual, and psychosocial implications. The differential diagnosis of the acute scrotum is broad and primarily includes acute epididymoorchitis, testicular torsion, and torsion of the testicular appendages. Alternative etiologies of acute scrotal pain may include testicular or paratesticular tumors, symptomatic distal ureterolithiasis, scrotal trauma, varicocele, incarcerated inguinal hernia, hyperactive cremaster muscle reflex with resultant testicular retraction, or other genital infections. A thorough history and physical examination is the key to making an accurate diagnosis, and may be facilitated through the use of specific diagnostic laboratory values and imaging. The aim of this chapter is to provide a detailed understanding of the etiology, clinical presentation, and management options of the most common genitourinary causes of the acute scrotum and Fournier’s gangrene.

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Authors and Affiliations

  1. Department of Urology, University of Virginia School of Medicine, Charlottesville, VA, USA

    Sarah C. Krzastek, Parviz K. Kavoussi & Raymond A. Costabile

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  1. Sarah C. Krzastek
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  2. Parviz K. Kavoussi
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  3. Raymond A. Costabile
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Correspondence to Sarah C. Krzastek .

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  1. Sheffield Teaching Hospitals NHS Foundation, Sheffield, UK

    Christopher R. Chapple

  2. Department of Urology, University of Virginia, Charlottesville, VA, USA

    William D. Steers

  3. Department of Urologic Surgery, University of California, Davis, Sacramento, CA, USA

    Christopher P. Evans

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Krzastek, S.C., Kavoussi, P.K., Costabile, R.A. (2020). Disorders of the Scrotal Contents: Epididymoorchitis, Testicular Torsion, and Fournier’s Gangrene. In: Chapple, C., Steers, W., Evans, C. (eds) Urologic Principles and Practice. Springer Specialist Surgery Series. Springer, Cham. https://doi.org/10.1007/978-3-030-28599-9_18

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