Testicular scanning : evaluating the acute scrotum in the clinical setting

In a retrospective study of patients with acute scrotal pain presenting to the hospitals of Southern Illinois University School of Medicine from January 1982 until September 1987, determination was made of the appropriate use of testicular scan for definitive diagnosis. Though the testicular scan is...

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Veröffentlicht in:Urology (Ridgewood, N.J.) N.J.), 1991-09, Vol.38 (3), p.237-241
Hauptverfasser: FENNER, M. N, ROSZHART, D. A, TEXTER, J. H
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container_title Urology (Ridgewood, N.J.)
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creator FENNER, M. N
ROSZHART, D. A
TEXTER, J. H
description In a retrospective study of patients with acute scrotal pain presenting to the hospitals of Southern Illinois University School of Medicine from January 1982 until September 1987, determination was made of the appropriate use of testicular scan for definitive diagnosis. Though the testicular scan is a highly sensitive and specific examination in the identification of testicular torsion, we believe its routine use in clinical practice is limited. Appropriate utilization of the examination requires its use in high-risk groups with equivocal physical findings or in patients with unusual presentations of age, anatomy, or neurologic deficit. The scan if used for routine screening of the acute scrotum would result in needless delays and unjustifiable expense when it is mandatory that the treatment be immediate surgical exploration.
doi_str_mv 10.1016/S0090-4295(91)80353-9
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subjects Acute Disease
Adult
Biological and medical sciences
Child
Epididymitis - diagnostic imaging
Epididymitis - epidemiology
Gynecology. Andrology. Obstetrics
Humans
Male
Male genital diseases
Medical sciences
Non tumoral diseases
Radionuclide Imaging
Retrospective Studies
Scrotum - diagnostic imaging
Sodium Pertechnetate Tc 99m
Spermatic Cord Torsion - diagnostic imaging
Spermatic Cord Torsion - epidemiology
Testis - diagnostic imaging
Time Factors
title Testicular scanning : evaluating the acute scrotum in the clinical setting
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