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 |
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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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N ; ROSZHART, D. A ; TEXTER, J. H</creator><creatorcontrib>FENNER, M. N ; ROSZHART, D. A ; TEXTER, J. H</creatorcontrib><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.</description><identifier>ISSN: 0090-4295</identifier><identifier>EISSN: 1527-9995</identifier><identifier>DOI: 10.1016/S0090-4295(91)80353-9</identifier><identifier>PMID: 1653477</identifier><identifier>CODEN: URGYAZ</identifier><language>eng</language><publisher>New York, NY: Elsevier Science</publisher><subject>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</subject><ispartof>Urology (Ridgewood, N.J.), 1991-09, Vol.38 (3), p.237-241</ispartof><rights>1992 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=5279165$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1653477$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>FENNER, M. N</creatorcontrib><creatorcontrib>ROSZHART, D. A</creatorcontrib><creatorcontrib>TEXTER, J. H</creatorcontrib><title>Testicular scanning : evaluating the acute scrotum in the clinical setting</title><title>Urology (Ridgewood, N.J.)</title><addtitle>Urology</addtitle><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.</description><subject>Acute Disease</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Epididymitis - diagnostic imaging</subject><subject>Epididymitis - epidemiology</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Male</subject><subject>Male genital diseases</subject><subject>Medical sciences</subject><subject>Non tumoral diseases</subject><subject>Radionuclide Imaging</subject><subject>Retrospective Studies</subject><subject>Scrotum - diagnostic imaging</subject><subject>Sodium Pertechnetate Tc 99m</subject><subject>Spermatic Cord Torsion - diagnostic imaging</subject><subject>Spermatic Cord Torsion - epidemiology</subject><subject>Testis - diagnostic imaging</subject><subject>Time Factors</subject><issn>0090-4295</issn><issn>1527-9995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1991</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kF9LwzAUxYMoc04_wqAPIvpQTZomaXwbw78MfHA-l9sk1UjazSYR_PZmWvZ0uff8OJxzEZoTfE0w4TevGEucl4Vkl5JcVZgymssDNCWsELmUkh2i6R45Rifef2KMOedigiaEM1oKMUXPa-ODVdHBkHkFfW_79-w2M9_gIoTdEj5MBioGk_RhE2KX2f7vqJztrQKXeRN25Ck6asF5czbOGXq7v1svH_PVy8PTcrHKt4SLkLeMtQ01mmtMqkowXsqywrLSWoIssW5VowHaimNjeFHIpiwaqlgKTrlhEugMXfz7bofNV0zx6856ZZyD3myir0WBky0jCZyPYGw6o-vtYDsYfuqxfNLPRx1SddcO0Cvr91j6o9yhv5_xaWs</recordid><startdate>19910901</startdate><enddate>19910901</enddate><creator>FENNER, M. N</creator><creator>ROSZHART, D. A</creator><creator>TEXTER, J. H</creator><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>19910901</creationdate><title>Testicular scanning : evaluating the acute scrotum in the clinical setting</title><author>FENNER, M. N ; ROSZHART, D. A ; TEXTER, J. H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p167t-f55fb3ed6d01887564948098dd9a940dfcbdaaf860ee6229b42b3c566636e59a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1991</creationdate><topic>Acute Disease</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Epididymitis - diagnostic imaging</topic><topic>Epididymitis - epidemiology</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Male</topic><topic>Male genital diseases</topic><topic>Medical sciences</topic><topic>Non tumoral diseases</topic><topic>Radionuclide Imaging</topic><topic>Retrospective Studies</topic><topic>Scrotum - diagnostic imaging</topic><topic>Sodium Pertechnetate Tc 99m</topic><topic>Spermatic Cord Torsion - diagnostic imaging</topic><topic>Spermatic Cord Torsion - epidemiology</topic><topic>Testis - diagnostic imaging</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>FENNER, M. N</creatorcontrib><creatorcontrib>ROSZHART, D. A</creatorcontrib><creatorcontrib>TEXTER, J. H</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Urology (Ridgewood, N.J.)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>FENNER, M. N</au><au>ROSZHART, D. A</au><au>TEXTER, J. H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Testicular scanning : evaluating the acute scrotum in the clinical setting</atitle><jtitle>Urology (Ridgewood, N.J.)</jtitle><addtitle>Urology</addtitle><date>1991-09-01</date><risdate>1991</risdate><volume>38</volume><issue>3</issue><spage>237</spage><epage>241</epage><pages>237-241</pages><issn>0090-4295</issn><eissn>1527-9995</eissn><coden>URGYAZ</coden><abstract>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.</abstract><cop>New York, NY</cop><pub>Elsevier Science</pub><pmid>1653477</pmid><doi>10.1016/S0090-4295(91)80353-9</doi><tpages>5</tpages></addata></record> |
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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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