How Is Acute Scrotal Pain Evaluated?
How Is Acute Scrotal Pain Evaluated?
The Big Picture
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.
Contents
- Initial Assessment
- Physical Examination Techniques
- Using Technology for Diagnosis
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.
FAQs
What is the first step in evaluating scrotal pain?
The first step is a detailed medical history and physical exam.
Why is the cremasteric reflex important?
It helps differentiate between testicular torsion and other conditions.
How is ultrasound used in diagnosis?
Ultrasound checks blood flow to the testicles.
What happens if the diagnosis isn't clear?
An ultrasound or further tests may be ordered.
Wrapping Up
Proper evaluation is crucial to treating scrotal pain effectively.
Additional 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.