Management of the Acute Scrotum
The research committee have approved another survey for circulation to members. This is a survey of management of the acute scrotum among paediatric surgeons and general surgeons (consultants and trainees) carrying out paediatric surgery.
A 2010 survey of scrotal exploration performed by urology and general surgery trainees showed a wide variation in management of suspected testicular torsion between these two specialties. For paediatric surgeons, while there are ESPU/EAU guidelines on management of some aspects of the acute scrotum, much of the evidence is level 3 or 4. Even within some paediatric surgery departments there may not be a consensus on investigation and management. The investigating team would like to identify what current practice is and why opinions on management differ.