Acute Scrotal Pain

Torsion of testicle

  • Occurs when a testicle rotates, twisting the spermatic cord that brings blood to the scrotum
  • Typically in teenage boys, but can occur at any age

Management

  • Surgery

Epididymoorchitis

  • Acute bacterial infection of the epididymis progressing to involve the testis which occurs as a result of retrograde bacterial colonisation via the ejaculatory ducts and vas deferens

Management

  • Analgesia and antibiotics

Torsion of the appendix testes (Hydatid of Morgagni)

  • The appendix testis is located at the upper pole of the testis (between the testis and the head of the epididymis)

Management

  • Conservative or surgical depending on symptoms