Weinerber et al classified edema of the male genitalia based on the duration of clinical findings. The authors are from the University of Pittsburgh.
Clinical features: genital edema with pain
Duration of edema: hours to a few weeks
Clinical Findings |
Possible Cause |
ecchymosis |
hematocele or hematoma (trauma, bleeding disorder, etc) |
prolonged erection |
priapism |
erythema and history of viral infection |
viral orchitis |
erythema with tenderness and/or induration |
epididymitis or epididiymo-orchitis |
sudden onset with absent blood flow to testis on Doppler ultrasound |
torsion of the testis |
sudden onset with abdominal pain and vomiting with normal testicular blood flow on Doppler ultrasound |
incarcerated hernia |
Additional diagnoses to consider:
(1) thermal or chemical burn
(2) venomous bite
(3) cellulitis, including Fournier's gangrene
Specialty: Urology
ICD-10: ,