Abstract：
OBJECTIVE:To evaluate the clinic characteristics, diagnosis, management, and costs of the adult acute scrotum in the emergency room (ER). Acute scrotum is a syndrome characterized by intense, acute scrotal pain that may be accompanied by other symptoms. It is usual in children and commonly found as well in adults, with different causal pathologies between these groups. METHODS:Between November 2013 and September 2014, 669 cases of adult acute scrotum who presented to our ER were prospectively analyzed. Patients under 15 years of age were excluded. Patient age, reason for consultation, investigations performed, final diagnosis, management, and costs were evaluated. For the statistical analysis, the Mann-Whitney, Kruskal-Wallis U, and chi-square tests were used. RESULTS:A total of 669 cases of acute scrotum were analyzed. The mean age at presentation was 40.2 ± 17.3 years. The most presented diagnoses were orchiepididymitis (28.7%), epididymitis (28.4%), symptoms of uncertain etiology (25.1%), and orchitis (10.3%). Diagnostic tests were carried out in 57.8% of cases. Most cases were treated as outpatients (94.2%), with 5.83% admitted and 1% undergoing surgical treatment. Overall, 13.3% of patients represented to the ER. Abnormal results in blood and urine tests were more common among older patients and infectious pathologies. The average cost generated by an acute scrotum ER consult was 195.03€. CONCLUSION:Infectious pathologies are the most common causes of acute scrotum at ER. Abnormal blood and urine tests are unusual and are more common in older patients and infectious pathologies.
journal_name
Urologyjournal_title
Urologyauthors
Lorenzo L,Rogel R,Sanchez-Gonzalez JV,Perez-Ardavin J,Moreno E,Lujan S,Broseta E,Boronat Fdoi
10.1016/j.urology.2016.05.018subject
Has Abstractpub_date
2016-08-01 00:00:00pages
36-41eissn
0090-4295issn
1527-9995pii
S0090-4295(16)30213-8journal_volume
94pub_type
杂志文章相关文献
UROLOGY文献大全abstract：OBJECTIVE:To review the incidence of defunctionalized bladder-related complications in patients who have had a supravesical urinary diversion for intractable urinary incontinence without concomitant cystectomy. MATERIALS AND METHODS:We retrospectively analyzed the records of patients requiring urinary diversion for in...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2013.06.037
更新日期：2013-11-01 00:00:00
abstract：OBJECTIVE:To investigate the impact of the expression profile of E-cadherin and N-cadherin in urothelial carcinoma of the upper urinary tract (UC-UUT) on the probability of intra- and extravesical disease recurrence in patients undergoing nephroureterectomy. METHODS:This study included 59 consecutive patients diagnose...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2011.07.1388
更新日期：2011-12-01 00:00:00
abstract：:A case of primary lymphosarcoma of the prostate in a seventy-one-year-old patient is presented. He had palliative surgical treatment and radiotherapy but died seven months later of heart failure with signs of metastatic disease. Treatment of this condition should include surgery and irradiation. Only its early discove...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(77)90230-8
更新日期：1977-04-01 00:00:00
abstract：OBJECTIVES:To compare aspiration and sclerotherapy using sodium tetradecylsulfate (STDS) with open hydrocelectomy in the treatment of hydroceles with regard to safety, efficacy, and cost-effectiveness. METHODS:Patients with symptomatic hydroceles were prospectively enrolled in an aspiration and sclerotherapy protocol ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(02)02430-5
更新日期：2003-04-01 00:00:00
abstract：OBJECTIVE:To properly use the Ureteric Symptom Score Questionnaire (USSQ) to evaluate, in a randomized control study, the effect of 2 different α-blockers in improving symptoms and quality of life in patients with indwelling ureteral stents. METHODS:After institutional review board approval, 150 consecutive patients w...
journal_title：Urology
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.urology.2013.08.067
更新日期：2014-01-01 00:00:00
abstract：:One hundred eight patients with invasive bladder carcinoma, clinically staged T3, who underwent preoperative irradiation followed by radical cystectomy and ileal conduit urinary diversion without pelvic lymphadenectomy at this Center between January 1, 1969, and December 30, 1975, were reviewed. Sixty-two patients are...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(78)90470-3
更新日期：1978-11-01 00:00:00
abstract：OBJECTIVES:Quantitative cytology (Quanticyt) provides an objective reproducible alternative for routine cytology. To increase the sensitivity of cytology, we studied the application of consecutive cytology in patients in follow-up for superficial bladder cancer. METHODS:Between 1991 and 1998, a set of five or more bla...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(00)00726-3
更新日期：2000-10-01 00:00:00
abstract：OBJECTIVE:To provide the anatomy of the puboprostatic ligament and related structures to save urogenital competence after prostatectomy. MATERIALS AND METHODS:Pelvic areas of 31 adult cadavers were dissected to figure out the shape, number, and location of the puboprostatic ligaments. RESULTS:The puboprostatic ligame...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2019.10.015
更新日期：2020-02-01 00:00:00
abstract：OBJECTIVE:To determine, via a randomized comparison study, whether robotic simulator-acquired skills transfer to performance of a urethrovesical anastomosis (UVA) on a 3-dimensional-printed bladder model using the da Vinci Robot. MATERIALS AND METHODS:Medical students, surgical residents, and fellows were recruited an...
journal_title：Urology
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.urology.2017.09.023
更新日期：2018-01-01 00:00:00
abstract：OBJECTIVES:To compare outcomes of radical retropubic, laparoscopic, and robotic-assisted prostatectomy using evidence-based analysis. METHODS:We performed meta-analysis of observational studies directly comparing radical retropubic, laparoscopic, and robotic-assisted prostatectomy for the treatment of localized prosta...
journal_title：Urology
pub_type： 杂志文章,meta分析
doi：10.1016/j.urology.2007.11.026
更新日期：2008-08-01 00:00:00
abstract：OBJECTIVE:To determine whether phosphatidylinositol-4,5-bisphosphate 3- kinase, catalytic subunit alpha (PIK3CA) copy number gain in penile cancer has prognostic value and association with histopathological parameters, human papillomavirus (HPV), and clinical outcome. METHODS:PIK3CA copy number status was assessed wit...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2018.03.056
更新日期：2018-07-19 00:00:00
abstract：:Between 1980 and 1989, 186 patients with testicular tumors were seen at Roswell Park Memorial Institute. Of these, 66.6 percent (124/186) were diagnosed to have nonseminomatous germ cell tumors (NSGT) and 22 percent (41/186) were clinically determined to have Stage I disease. Patients with clinical Stage I NSGT either...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(91)80007-t
更新日期：1991-07-01 00:00:00
abstract：OBJECTIVES:To describe the occurrence of a physician-assigned diagnosis of prostatitis in a community-based cohort. METHODS:A sampling frame of all Olmsted County, Minnesota, male residents was used to randomly select a cohort of men between 40 and 79 years old by January 1, 1990, to participate in a longitudinal stud...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(98)00034-x
更新日期：1998-04-01 00:00:00
abstract：OBJECTIVES:To determine the effect of discontinuation of alpha-blockade and continuation of finasteride in men with lower urinary tract symptoms and enlarged prostates receiving combination treatment and to determine whether the alpha-blocker dose influences the ability to discontinue it. METHODS:We treated 272 consec...
journal_title：Urology
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/s0090-4295(01)01201-8
更新日期：2001-08-01 00:00:00
abstract：:Genital cutaneous involvement with Crohn disease is an uncommon complication which has been described only recently. A case is presented of a young man with Crohn disease involving the penile and scrotal skin four years after total colectomy for Crohn disease. The histopathology and management are discussed. While the...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(80)90376-3
更新日期：1980-06-01 00:00:00
abstract：:Visual laser ablation of the prostate (VLAP) was evaluated by serial video-endoscopy and six months of clinical correlation in 7 men suffering from advanced prostatism and urinary retention. Images of the prostatic urethra were obtained before and at various intervals from two to nineteen weeks after the procedure. A ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(93)90344-a
更新日期：1993-07-01 00:00:00
abstract：OBJECTIVES:A highly effective treatment for interstitial cystitis (IC) remains elusive. We determined whether sacral third nerve root (S3) percutaneous neurostimulation (PNS) might be effective in relieving symptoms of IC, as well as in normalizing urinary factors that are specifically altered in IC. METHODS:Six conse...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(00)00476-3
更新日期：2000-05-01 00:00:00
abstract：OBJECTIVES:To assess the feasibility of telerobotic assisted surgery. METHODS:In a laboratory model, a cholecystectomy, splenectomy, and nephrectomy were performed by an inexperienced surgeon who was being mentored by an experienced surgeon stationed at a remote site. The remote surgeon controlled the laparoscopic cam...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(94)80003-0
更新日期：1994-07-01 00:00:00
abstract：OBJECTIVE:To evaluate the specific contribution of ilioinguinal (II) and iliohypogastric (IH) nerve injury and referred pain to interstitial cystitis/bladder pain syndrome and patient-reported chronic pelvic pain, and to enumerate the effects of II and IH nerve resection on the pain and voiding symptoms in patients wit...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2020.11.034
更新日期：2020-12-03 00:00:00
abstract：OBJECTIVE:To compare the results of polymerase chain reaction (PCR) and immunologic methods for the detection of nanobacteria (NB) in the expressed prostatic secretions (EPSs) of patients with type-III prostatitis. METHODS:In total, 150 patients with type-III prostatitis for whom conventional clinical treatment had fa...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2014.05.038
更新日期：2014-09-01 00:00:00
abstract：:Mesoblastic nephroma is the most common solid renal neoplasm in the first few months of life. It has been recognized only recently as a distinct entity, having been classified previously as Wilms tumor. There are relatively few ultrasonic descriptions of this entity in the literature. We present an additional case fea...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(82)90590-8
更新日期：1982-02-01 00:00:00
abstract：:Use of α-blockers for medical expulsive therapy (MET) has been the subject of huge debate in urology. Moreover, there have been a number of randomized controlled trials with differing results. We conducted a systematic review and meta-analysis of randomized controlled trials investigating the efficacy of α-blockers fo...
journal_title：Urology
pub_type： 杂志文章,meta分析
doi：10.1016/j.urology.2018.03.028
更新日期：2018-09-01 00:00:00
abstract：OBJECTIVES:To investigate the financial and educational costs of the urology residency interview process, we performed a survey of the applicants to the 2006 urology match. METHODS:All applicants registered for the 2006 urology match were invited to participate. In January 2006 prior to the match, an anonymous online ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2007.11.102
更新日期：2008-06-01 00:00:00
abstract：OBJECTIVE:To evaluate whether the addition of a single dose of an aminoglycoside to a fluoroquinolone-based prophylaxis regime would decrease septic complications associated with transrectal prostate biopsy. METHODS:A retrospective survey of all patients undergoing transrectal ultrasound guided prostate biopsy (TRUS-P...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2013.01.074
更新日期：2013-11-01 00:00:00
abstract：OBJECTIVES:To obtain data concerning the incidence and management of reservoir herniation in inflatable penile prosthesis surgery in a clinical investigation. Reservoir herniation after scrotal placement of inflatable penile prosthesis is an unusual complication, and a review of the published medical reports reveals on...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(00)00864-5
更新日期：2001-01-01 00:00:00
abstract：OBJECTIVES:To correlate the clinical outcomes of 148 patients with clear cell renal carcinoma treated at a single institution with a variety of other factors. METHODS:Cases were derived from a consecutive series of nephrectomy specimens obtained from 1980 to 1994. A retrospective review of clinical records was perform...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/s0090-4295(99)00408-2
更新日期：2000-01-01 00:00:00
abstract：:A case in which sonography demonstrated that calculi may arise in female urethral diverticula is presented. The diagnosis of female urethral diverticula is reviewed. ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(93)90549-p
更新日期：1993-12-01 00:00:00
abstract：:Nephrogenic adenoma of the bladder, which has been associated with either a chronic infection or severe trauma to the bladder, occurred in a six-year-old girl apparently secondary to urologic surgery. It was also a possible cause of enuresis. ...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/0090-4295(76)90472-6
更新日期：1976-03-01 00:00:00
abstract：OBJECTIVE:To identify and address factors that may impact a surgeon's performance during endourologic procedures. METHODS:A literature review was performed for articles focusing on surgical ergonomics, education, sports and performance psychology. RESULTS:As urologists and trainees have become more comfortable approa...
journal_title：Urology
pub_type： 杂志文章,评审
doi：10.1016/j.urology.2020.01.033
更新日期：2020-05-01 00:00:00
abstract：OBJECTIVES:To compare surgical and functional results of both surgical approaches to endoscopic partial nephrectomy. It is currently performed either by the transperitoneal (t) or the retroperitoneal (r) approach. METHODS:This was a retrospective, matched-pair comparison of 105 patients who underwent either transperit...
journal_title：Urology
pub_type： 杂志文章
doi：10.1016/j.urology.2010.02.057
更新日期：2011-01-01 00:00:00
