13 Epididymitis Most common complaint of scrotal pain Differentiated from testicular torsionInflammatory reaction to certain pathogensChlamydia trachomatis responsible for 2/3 of the cases
14 Testicular Cancer Misdiagnosed as Epididymitis Intractable pain N/V Sepsis
15 Prostatitis Most misdiagnosed disorder Dysuria Frequency Urgency Back or perineal painFeverChillsDehydration
16 Testicular Torsion True surgical emergency Most common in adolescent malesSevere unilateral scrotal painPossible swellingArterial ischemia causing infarction of the testicleRapid recognition and treatmentUltrasound?
17 Acute OrchitisApproximately 20% of prepubertal patients with mumps develop orchitisTesticular pain and swellingAssociated with epididymitisTesticular atrophy occurs in 60%
18 Fournier Gangrene (Necrotizing Fasciitis) Immune compromisedDiabetes mellitusMorbid obesityCirrhosisVascular disease of the pelvisMalignanciesPain and itching of the scrotal skinProgressive, rapidly spreading, inflammatory infection located in the deep fascia, with secondary necrosis of the subcutaneous tissuesMortality as high as 75%
20 Appearance of patient's pubic region after initial debridement, with scrotum and suprapubic fat pad excised, testes preserved within tunica vaginalis, and penile skin and subcutaneous tissue debrided'Aho T et al. (2006) Fournier's gangreneNat Clin Pract Urol 3: 54–57 doi: /ncpuro353