MyMedR

Fulltext Role of ultrasound in management of scrotal abnormalities in children

Oscar H, Kapur J

Med J Malaysia, 2012 Oct;67(5):549-55.

PMID: 23770885

Matched MeSH terms: Scrotum*

Scrotal lump: do not forget tuberculosis!

Ho CC, Rusdi AR

Clin Ter, 2014;165(2):107-9.

PMID: 24770814 DOI: 10.7471/CT.2014.1686

Scrotal tuberculosis (TB) is rare. Lack of awareness may lead to a misdiagnosis and/or delayed diagnosis of scrotal TB. Clinicians should have a high suspicion index for scrotal TB when facing a patient with a chronic scrotal lump. Since scrotal TB can be medically cured, biopsy of the scrotal lump for pathology study and/or urine polymerase chain reaction (PCR) analysis for M. tuberculosis should be performed first for rapid diagnostic purposes, and therefore unnecessary surgery may thereby be circumvented.

Matched MeSH terms: Scrotum*

Fulltext Management of acute testicular pain in children: changing trends with improvements in scrotal ultrasonography over 18 years

Kyaw L, Choo CSC, Ong LY, Yap TL, Teo HJ, Nah SA

Singapore Med J, 2023 Apr;64(4):249-254.

PMID: 35196848 DOI: 10.11622/smedj.2022032

INTRODUCTION: Doppler scrotal ultrasonography (US) is the modality of choice in diagnosing testicular torsion. We aimed to evaluate the performance of scrotal US in diagnosing testicular torsion over the past 18 years in our institution and determine the factors contributing to the length of wait times for it.

METHODS: A retrospective review was conducted of boys who presented with acute scrotal pain from 2014 to 2015. US reports, operative findings, final diagnosis and key time points of the patients' journey (time to emergency department consultation, time to admission, time to US and time to operating theatre [OT]) were collected. US performance results were compared with those observed in a historical cohort from 1998 to 2004. Wait times were compared between operated and non-operated patients.

RESULTS: Data from 519 boys with a mean age of 9.15 years was collected. Of these, 438 (84.4%) boys had undergone initial scrotal US; of these scrotal US cases, 28 were surgically explored, with 23 confirmed to have torsion. Another five cases were explored without prior US, and all were confirmed to have torsion. Performance analysis of US showed a sensitivity of 100% and a specificity of 98.8%. There was no significant difference between wait times of operated and non-operated patients. Time to US (P < 0.0001, r = 0.96) and time to OT (P < 0.0001, r = 0.64) correlated significantly with the total time from presentation to surgery.

CONCLUSION: There has been an improvement in the diagnostic performance of scrotal US for testicular torsion over the past 18 years. Quality improvement programmes targeted at reducing wait times for patients presenting with acute scrotum should target time to US and time to OT.

Matched MeSH terms: Scrotum/surgery

Fulltext Scrotal abscess: an unusual complication of perforated appendix

Shahrudin MD

Med J Malaysia, 1994 Jun;49(2):172-3.

PMID: 8090098

Acute scrotal pain and swelling in children is commonly attributed to torsion of the testis or of the testicular appendage. However, following suppurative appendicitis, scrotal abscess secondary to a patent processus vaginalis must be considered.

Matched MeSH terms: Scrotum*

Fulltext Fournier's gangrene and the use of preputial rotation graft

Krishnan MMS

Med J Malaysia, 1982 Jun;37(2):124-7.

PMID: 6752671

This paper presents four cases of Fournier's gangrene, including one involving a reconstructive procedure using a preputial rotation flap to cover the raw area, to reduce the period of wound healing. Since Fournier's description of Idiopathic scrotal gangrene in 1884, there have been a number of reports on this relatively rare disease but the problem of achieving early healing and epithelialisation remains.

Matched MeSH terms: Scrotum/surgery*

Scrotal emergencies: An imaging perspective

Ong CYG, Low HM, Chinchure D

Med J Malaysia, 2018 12;73(6):445-451.

PMID: 30647231

Acute scrotal pain is a common complaint in emergency or primary care practice. A myriad of pathologies need to be considered, and while the clinical history often leads the clinician to the correct diagnosis, radiologists are often called upon to provide further diagnostic information through ultrasonography. Here, we present the sonographic features of various scrotal emergencies, as well as a few pitfalls. Through this, we explore the breadth of urgent pathologies that may be encountered, both traumatic and non-traumatic. For the clinician who performs point-of-care ultrasound, whether in clinic or in the emergency department, we hope that this pictorial article will lay a good foundation for confident and accurate image interpretation.

Matched MeSH terms: Scrotum/injuries

Fulltext A boy with prolonged Fever

Pau W

Malays Fam Physician, 2008;3(3):162.

PMID: 25606144

Matched MeSH terms: Scrotum

Relationship of scrotal circumference to age, body weight and onset of spermatogenesis in goats

Bongso TA, Jainudeen MR, Zahrah AS

Theriogenology, 1982 Nov;18(5):513-24.

PMID: 16725772

Scrotal circumference (SC) and body weight (BW) measurements were obtained from 122 crossbred (SaanenxLoca; JumnaparixLocal) bucks, ranging in age from 3 to 28 months. Spermatogenesis and semeniferous tubule diameters were studied from testicular biopsies in 24 bucks. The results showed that SC increased curvilinearly and was significantly correlated with age (P<0.05). Scrotal circumference correlated more significantly with BW (P<0.001). Spermatogenesis was completed at 6-7 months with a sudden increase in tubular diameter at the same time. Since SC is an indirect measurement of testicular size, a marked increase in testicular size indicated the onset of active spermatogenesis and, hence, the possibility of using bucks for breeding at an earlier age than normally recommended. Further, SC norms obtained in this study may become useful in the evaluation of bucks for breeding soundness.

Matched MeSH terms: Scrotum

Fulltext Migration of a fractured ventriculoperitoneal shunt into the scrotum: a rare complication

Shahizon AM, Hanafiah M, Hing EY, Julian MR

BMJ Case Rep, 2013;2013.

PMID: 23955988 DOI: 10.1136/bcr-2013-200609

Matched MeSH terms: Scrotum*

Relationship of scrotal circumference and testicular volume to age and body weight in the swamp buffalo (Bubalus bubalis)

Bongso TA, Hassan MD, Nordin W

Theriogenology, 1984 Aug;22(2):127-34.

PMID: 16725943

Scrotal circumference (SC) and testicular volume (TV) were measured in 65 swamp buffalo bulls ranging in age from 7 to 60 months and weighing 130 kg to 560 kg. Ages and body weight (BW) were recorded for each male at the time of measurement to find out if they correlated with SC and TV. SC and TV increased linearly and correlated significantly with age and BW (SC vs age: r=0.74, p<0.01; SC vs BW: r=0.88, p<0.01; TV vs BW: r=0.82, p<0.01). SC measurements ranged from 15.1+/-1.1 cm to 24.0+/-0.4 cm for ages ranging from 10.0+/-0.6 to 48.5+/-6.3 months, revealing that testicular size in swamp buffaloes was very much smaller than domestic cattle. The SC norms distributed with age would be useful in the evaluation of swamp buffalo males for breeding soundness.

Matched MeSH terms: Scrotum

Examination of Droughtmaster bulls for breeding soundness

Bongso TA, Jainudeen MR, Dass S

Theriogenology, 1981 Apr;15(4):415-25.

PMID: 16725600

Forty Droughtmaster bulls were evaluated for breeding soundness, using the method of examination and criteria for classifying bulls of the Society for Theriogenelogy. Eighty three percent of the bulls were classified as satisfactory, 14 percent as questionable and 3 percent as unsatisfactory breeders. Scrotal circumference for 2 to 8-year-old bulls were smaller in questionable and unsatisfactory bulls, as compared to satisfactory bulls. For bulls rated as satisfactory breeders, the scrotal circumference of 37 to 43 cms was higher than for other beef breeds. Three related bulls (2 questionable, 1 satisfactory) carried sperm defects classified as 'knobbed' (38 +/- 3%), 'Dag' (40 +/- 4%) and 'pseudo-droplets' (41 +/- 5%), which may adversely affect fertility.

Matched MeSH terms: Scrotum

Fulltext Mason on a surgical mission

Utpal DE, Dhritiman M, Mukhopadhyay M

Med J Malaysia, 2012 Jun;67(3):331-2.

PMID: 23082429

Matched MeSH terms: Scrotum/blood supply; Scrotum/injuries*

An unusual cause of a penetrating injury to the anterior urethra: a thorny situation

Tan GH, Ho CC, Bahadzor B, Praveen S, Goh EH, Afdzillah AR, et al.

Clin Ter, 2013;164(1):35-7.

PMID: 23455741 DOI: 10.7417/T.2013.1509

Concurrent penetrating injury to the male external genitalia and the anterior urethra is uncommon. This case illustrates an unusual cause of such an injury, and its subsequent management and outcome. A 69-year-old man had his scrotum and anterior urethra pierced by a long thorn when he fell in his farm. He presented with urine leakage from the scrotal wound each time he micturated. Cystoscopic examination confirmed the cause and extent of the injury, and also facilitated the extraction of the thorn. The injury was allowed time to heal by urinary diversion with a urinary catheter. There were no stricture or fistula formations and the patient remained symptom-free at 3 months follow-up. Careful cystoscopic examination was both diagnostic and therapeutic in this case. A conservative approach is a feasible option in the management of selected cases of penetrating anterior urethral injury.

Matched MeSH terms: Scrotum/injuries*; Scrotum/surgery*

Fournier's gangrene: its aetiology and management

Thambi Dorai CR, Kandasami P

Aust N Z J Surg, 1991 May;61(5):370-2.

PMID: 2025192

The clinical features and management of 12 patients with Fournier's gangrene are described. The patients differed from the usual description of Fournier's gangrene in that they were older, the disease had a less abrupt onset and a definite predisposing factor was identified in 10 of the 12 patients. The importance of early diagnosis and excision of necrotic tissue is emphasized.

Matched MeSH terms: Scrotum/pathology*; Scrotum/surgery

Managing traumatic testicular dislocations: what we know after two centuries

Subramaniam S, Ab Khalil MK, Zakaria J, Hayati F

BMJ Case Rep, 2020 Nov 03;13(11).

PMID: 33148579 DOI: 10.1136/bcr-2020-236801

Traumatic testicular dislocation (TTD) is a rare consequence of blunt scrotal trauma. A 21-year old gentleman presented with inguinal pain following a motorcycle accident and physical examination revealed absence of both testes within a well-formed scrotal sac with bilateral inguinal swellings. Ultrasonography confirmed viability and location of the testes at the superficial inguinal pouch. He underwent emergent surgical reduction with orchidopexy and was discharged the next day. No evidence of testicular dysfunction or atrophy was noted at follow-up. We reviewed reports of TTDs reported in English over the last two centuries and discuss its occurrence, evolution and management.

Matched MeSH terms: Scrotum/injuries*; Scrotum/surgery

Fulltext Giant epidermoid cyst of the thigh

Mohamed Haflah N, Mohd Kassim A, Hassan Shukur M

Malays Orthop J, 2011 Nov;5(3):17-9.

PMID: 25279030 MyJurnal DOI: 10.5704/MOJ.1111.001

Epidermoid cyst is a common benign cutaneous swelling frequently encountered in surgical practice. It usually presents as a painless lump frequently occurring in hairbearing areas of the body particularly the scalp, scrotum, neck, shoulder and back. Giant epidermoid cysts commonly occur in hairy areas such as the scalp. We present here the case of a rare occurrence of a giant epidermoid cyst in the less hairy area of the right upper thigh mimicking a soft tissue sarcoma. Steps are highlighted for the management of this unusual cyst.

Matched MeSH terms: Scrotum

Fulltext Subcutaneous leiomyosarcoma of the scrotum mimickering testicular cancer. A case report and literature review

Singh S, Hassan A

Urol Case Rep, 2021 Jan;34:101487.

PMID: 33318933 DOI: 10.1016/j.eucr.2020.101487

Leiomyosarcoma of the scrotum is a rare tumor. Johnson H Jr in 1987 reported first case. Only 39 cases been reported in the literature. A 74 years old Indian gentleman presented with progressive painless right testicular swelling for 3 months. On examination, a firm right testicular mass. We proceeded with right scrotal exploration with excision of the right scrotal mass. Histopathology showed scrotum leiomyosarcoma. We would like to discuss the rarity of presentation, dilemma of diagnosis and managing in a district hospital. We advocate wide local excision with clear margin of 2 cm which give good overall survival benefits.

Matched MeSH terms: Scrotum

Fulltext Squamous cell carcinoma of scrotum: a rare case of scrotal neoplasm

Shanggar, K., Ng, C.H., Razack, A.H., Dublin, N.

JUMMEC, 2010;13(1):59-62.

MyJurnal

Malignant tumours of the scrotum are very rare. Several type of occupations have been identified as high risk for the development of SCC of scrotum e.g paraffin and shale oil workers (1), textile workers (2) etc. We report a rare case of SCC of scrotum. Search of our records in the Urology and Pathology departments of our Centre showed that this is the only case of SCC of the scrotum in the last 10 years.

Matched MeSH terms: Scrotum

Fulltext Adrenal haemorrhage in a newborn

Shalini, N., Rohani, A.J., Neoh, S.H., Cheah, I.G.S., Che Zubaidah

Malaysian Journal of Paediatrics and Child Health, 2016;22(101):0-0.

MyJurnal

Adrenal hemorrhage (AH) is a relatively uncommon condition (0.55-1.9%) during the neonatal period [1]. The adrenal gland is vulnerable to haemorrhage because of its large size and high vascularity. Clinical features of AH are variable and nonspecific. AH in a newborn can present as anemia, hyperbilirubinemia, abdominal mass, painful swelling or hematoma of the scrotum, acute adrenal crisis or shock [2]. We report such a case of adrenal haemorrhage in a newborn.(Copied from article)

Matched MeSH terms: Scrotum

Fulltext An omental fibroma resembling a testicular tumour but presented as an irreducible inguinal hernia

Khoo PJ, Jacob S

J Surg Case Rep, 2017 Aug;2017(8):rjx161.

PMID: 28852466 DOI: 10.1093/jscr/rjx161

We present a case of omental fibroma, which posed a surgical diagnostic dilemma. Primary tumours of the omentum are uncommon, and omental fibromas account for 2% of these. The rarity of omental fibroma and paucity of available information hamper an accurate diagnosis. In this particular case, the diagnostic process was misleading. The history was classical of an irreducible inguinal hernia, but the physical examination and imaging studies were suggestive of a testicular tumour. However, intraoperatively, an omental tumour and a normal testicle were found in the scrotum. Histopathological examination proved the tumour to be a fibroma. The presentation of an omental fibroma in an inguinal hernia sac had never been reported in literature. Due to the rarity of such cases, a thorough history, detailed examination, and objective investigation are the pillars to attain the correct diagnosis.

Matched MeSH terms: Scrotum

Displaying publications 1 - 20 of 33 in total