Table 3 reports data on the practice of fixing the explored testis in case of negative
scrotal exploration for TT.
Accurate characterization of this entity may allow a more conservative
scrotal exploration rather than a radical orchiectomy.
Weidner, "Detection of normal intratesticular perfusion using color coded duplex sonography obviates need for
scrotal exploration in patients with suspected testicular torsion," Journal of Urology, vol.
[23] Ultrasonography: Large
Scrotal exploration. left scrotal hematoma Matsui et al.
Scrotal exploration for unilateral nonpalpable testis.
A 2015 study found that the risk of chronic orchalgia in children who underwent
scrotal exploration for acute scrotal pain occurs in 1.4% of cases (Hart et al., 2015).
Furthermore, exact de-torsion of the cord was confirmed during
scrotal exploration.
The diagnosis was not determined in only one case; thus,
scrotal exploration was finally performed and an intact testiculus was observed.
Immediate or late
scrotal exploration may be performed with or without orchiectomy.
Unfortunately, these symptoms overlap with other conditions including acute epididymo-orchitis, and quite often it is
scrotal exploration that confirms the diagnosis.
One 12-year-old patient, who had
scrotal exploration via an inguinal approach, had no block to ice assessed 60 minutes post-injection of 10 ml 0.5% levobupivacaine (0.24 ml/kg).
Additional diagnostic studies that are discussed include bone densitometry, pituitary imaging, genetic studies, testicular biopsy, and
scrotal exploration.