What is the role of surgical exploration in the diagnosis of acute epididymitis?

Updated: Apr 04, 2018
  • Author: Michelle DiMare, MD; Chief Editor: Barry E Brenner, MD, PhD, FACEP  more...
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Acute scrotal pain is a common complaint in the emergency room. One must have a high index of suspicion for testicular torsion, a true scrotal emergency, when evaluating patients with acute testicular or scrotal pain. [2, 14]

The most common misdiagnosis for testicular torsion is epididymitis. Often, this results from reliance on imperfect diagnostic tests over clinical judgment. Surgical exploration to definitively exclude torsion is not a high-risk procedure. Insist on rapid, in person, consultation by the urologist in suspect cases.

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