English summaries
Diseases in the groin and scrotal area in children
Julkaistu 07.05.2010 00.01
Problems in the groin and scrotum area are common in children. About 2% of boys need surgery for undescended testis and about same number need surgery because of inguinal hernia or hydrocele. Undescended tesis should be operated on preferably at the age of 6 to 12 months. Inguinal hernias in infants are operated on without delay because of a risk of incarceration. In girls inguinal hernias are relatively uncommon and can rarely be associated with androgen insensitivity syndrome. Testicular tumours are rare in children and often benign in this age group. The most typical lump in the scrotum in children is hydrocele. It usually disappears of its own accord before the age of 3 years. If hydrocele is disturbing, it can be operated on after that age. Epididymal cysts are other common scrotal masses and are usually harmless. In prebuperty varicocele becomes the most common scrotal mass. The significance of varicocele is controversial. In the case of acute scrotum emergency exploration should be considered because testicular torsion rapidly results in loss of the testis. Even the current imaging methods are not reliable in excluding this possibility.
Seppo Taskinen
Docent, Head of Department
Helsinki University Central Hospital, Childrens Hospital
Päivi Salminen
M.D., Specialist in Paediatric Surgery
Helsinki University Central Hospital, Childrens Hospital
Finnish Medical Journal 2010;65:1617–21.
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