4th Pediatric Infectious Diseases Conference
 
 
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Acute Swelling and Pain in Scrotal Region
ACUTE SWELLING AND PAIN IN SCROTAL REGION
Dr. Vivek M. Rege
Pediatric Surgeon & Pediatric Urologist
B J Wadia Hospital For Children, Hurkisondas Hospital, Wockhardt Hospital, Mumbai


This is one condition that requires a quick decision and urgent surgery.
Acute Swelling and Pain in Scrotal Region The usual story is that of a boy who comes home from school or from playing with a pain in the scrotal region. The onset may have been while the boy was playing or even more often while sitting. There may be some history of trauma, which may lead to the parents to assume that pain is due to Normal Structure of Testis direct trauma only. However, the boy must be thoroughly questioned to find out when did the pain actually start, has it remained the same, increased, or decreased and disappeared. Check if the boy is having any urinary problem like burning or painful micturition prior to the pain. Also, one must check for swelling and redness on one side of the scrotum. Thus a boy presenting with pain and swelling on one side of the scrotum has to be given immediate therapy since there are 2 possibilities. The first is Testicular torsion that requires urgent surgery to untwist the torsion; the other is epididymo orchitis that requires purely non surgical therapy.
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