Acute Scrotal Swelling: A Clinical Study

Objective: cute scrotal swelling is a group of heterogeneous disease of the scrotal organs, that have a similar clinical picture and which may require surgical treatment. The aim was to study the clinical presentation, differential diagnosis, and management of different acute scrotal conditions. Method: prospective study was at Maharaja Krishna Chandra Gajapati Medical College & Hospital, Brahmapur within a year, conducted 100 patients among aged between 13-70 years, presenting with acute scrotal swelling. After obtaining ethical committee approval, the study was conducted among the patients who were presented with acute scrotal swelling with informed written consent from the patient. Results: Epididymo-orchitis was found in 48 out of 100 patients and torsion of testis (17), Epididymoorchitis was found to be common clinical condition followed by torsion of testis which occurs in younger individual. Scrotal swelling associated with pain was the most common presenting feature, where fever and urinary symptoms being most common feature in epididymo-orchitis. Haemogram, urine analysis were not conclusive but supportive to clinical diagnosis. Ultrasound of scrotum was 92.58% sensitive and 100% specific. The period of hospitalisation was found to be more in fournier’s grangrene (mean 25 days.) rather than epididymo-orchitis. Conclusion: In our study shows acute epididymo-orchitis found to be commonest condition followed by torsion of testis. Testicular torsion is a true surgical emergency which required careful examination, proper evalution and prompt treatment with early surgical management.