Contents
How Is Acute Scrotal Pain Evaluated?
Published: Aug 20, 2024
Evaluating acute scrotal pain involves a series of steps to pinpoint the exact cause. Let's walk through the process of how doctors figure it out.
Initial Assessment
The evaluation begins with taking a detailed medical history and performing a physical exam. Doctors ask about the pain's onset, location, and associated symptoms like fever or urinary issues. They also check for prior surgeries in the inguinal or scrotal areas.
Physical Examination Techniques
Doctors examine the abdomen, inguinal region, and scrotal skin. They assess the cremasteric reflex by lightly stroking the thigh to check the testicle's response. Absence of this reflex often indicates testicular torsion, whereas a positive reflex suggests epididymitis.
Using Technology for Diagnosis
When physical exams don't provide clear answers, doctors turn to ultrasounds. This imaging technique helps visualize blood flow to the testicles, confirming or ruling out conditions like testicular torsion.
Frequently Asked Questions
The first step is a detailed medical history and physical exam.
It helps differentiate between testicular torsion and other conditions.
Ultrasound checks blood flow to the testicles.
An ultrasound or further tests may be ordered.
Wrapping Up
Proper evaluation is crucial to treating scrotal pain effectively.
References
- Stewart A, Ubee SS, Davies H. Epididymo-orchitis. BMJ 2011; 342:d1543.
- Tracy CR, Steers WD, Costabile R. Diagnosis and management of epididymitis. Urol Clin North Am 2008; 35:101.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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