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2017 ; 10
(1
): 241
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Chronic scrotal pain in young adults
#MMPMID28676067
Rottenstreich M
; Glick Y
; Gofrit ON
BMC Res Notes
2017[Jul]; 10
(1
): 241
PMID28676067
show ga
OBJECTIVE: Chronic scrotal pain (CSP) is a common and well recognized symptom of
young males presenting to primary care units. Historically, CSP is defined as a
testicular pain lasting for over 3 months. However, its etiology and outcome are
poorly understood and its management is largely empirical. This study was
conducted to examine the frequency, spectrum of pathology and outcome of CSP
among young adults. RESULTS: The medical records of 382,036 young males were
reviewed for anamnestic information, physical findings, primary care physician
decisions, and final outcome. CSP, defined as scrotal pain longer than 14 days,
was recorded in 3084 patients (0.8%). The total number of primary physician's
visits due to this complaint was 16,222, with a mean of 5.3 visits per patient
(range 1-37). Varicocele was the most common physical finding (54.1%). Other
common findings were inguinal hernia (4.5%), genital infection (4.3%), hydrocele
(4.2%) and referred pain (3.3%). 252 patients (8.2%) underwent surgical treatment
but orchiectomy was not necessary in any patient. In 34.4% no specific etiology
could be found. Neither malignant tumors nor testicular torsion were diagnosed in
any patient. The prevalence of the diagnoses was similar between the different
time groups-15-29 days, 30-59 days and more than 60 days. Considering the similar
etiologies CSP over a wide spectrum of time we suggest defining CSP as testicular
pain lasting longer than 14 days.
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