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- W2050869439 abstract "Objective To determine whether there is justification for a policy of conservative management of acute scrotal emergencies, based on the ability to exclude a twisted testicle or the assumption that there is a ‘missed torsion’ when the duration of symptoms is prolonged. Patients and methods The case notes of 209 consecutive emergency scrotal explorations, carried out in one district general hospital over a 7‐year period, were reviewed. The decision to operate was based solely on a clinical diagnosis, with no information from additional radiological investigations. Results The commonest finding was testicular torsion (39.5%) with an orchidectomy rate of 22%. Only 5% of scrotal torsions occurred in patients <12 years of age, whereas 26% occurred in those >20 years of age. In five of 82 cases (6%) of confirmed testicular torsion, the surgeon did not consider this the most likely diagnosis. With a pain duration of <16 h, 89% of testes were salvaged, but with pain for >16 h this decreased to 25%. In three cases the testis was viable after pain had been present for >24 h. Conclusion In the absence of supportive radiological investigations, a small but significant number of twisted testes will be missed if conservative management is adopted." @default.
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- W2050869439 date "1996-10-01" @default.
- W2050869439 modified "2023-10-01" @default.
- W2050869439 title "Is the conservative management of the acute scrotum justified on clinical grounds?" @default.
- W2050869439 doi "https://doi.org/10.1046/j.1464-410x.1996.16321.x" @default.
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