Evaluation and Management of the Scrotal Mass and Acute Scrotum

Abstract

There are many causes of acute and chronic scrotal pathology. Some of these require emergency medical or surgical treatment, but others do not require immediate intervention. Appropriate evaluation of the patient with any scrotal abnormality is crucial, as a delay in recognition of the offending process or administration of treatment may result in testicular loss, infertility, or significant morbidity. Careful history, physical examination, and prudent radiologic and laboratory testing define the physician’ s armamentarium to establish the correct diagnosis. When this diagnosis is reached in a timely fashion, appropriate therapy can be instituted, thus minimizing any associated complications.