Acute Scrotal Pain: Management

  • Giuseppe Ocello
  • Andrea Lissiani
  • Carlo Trombetta
Part of the Medical Radiology book series (MEDRAD)


A variety of scrotal and non-scrotal pathologies may present with acute scrotal pain. Differential diagnosis is important, since management is different. When history and physical examination strongly suggest the presence of testicular torsion and the duration of pain is less than 12 h, urgent surgical exploration is mandatory. When pain is present for more than 12 h or the diagnosis is unclear, color Doppler ultrasound can be helpful in decision making. It is important to remember that most patients with an acute scrotum do not have testicular torsion. In case of epididymo-orchitis, pathogen-directed antibiotic therapy is required. Furthermore, bed rest, scrotal elevation and the use of non-steroidal anti-inflammatory agents are useful in reducing the duration of the symptoms.


Spermatic Cord Testicular Torsion Tunica Albuginea Hidradenitis Suppurativa Testicular Injury 
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Copyright information

© Springer-Verlag Berlin Heidelberg 2011

Authors and Affiliations

  • Giuseppe Ocello
    • 1
  • Andrea Lissiani
    • 1
  • Carlo Trombetta
    • 1
  1. 1.Department of UrologyOspedale di Cattinara, University of TriesteTriesteItaly

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