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Advances in Urology
Volume 2011 (2011), Article ID 310123, 4 pages
Clinical Study

Spermatic Cord Knot: A Clinical Finding in Patients with Spermatic Cord Torsion

1Urology Unit, Department of Surgery, Al-Amiri Hospital, Kuwait, Kuwait
2Urology Residency Program, McGill University, Montreal, QC, Canada H3A 2T5

Received 14 August 2011; Revised 5 October 2011; Accepted 5 October 2011

Academic Editor: Walid A. Farhat

Copyright © 2011 Abdullatif Al-Terki and Talal Al-Qaoud. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Pertinent history taking and careful examination often taper the differentials of the acute scrotum; congruently the ability to diagnose acute spermatic cord torsion (SCT) when radiological adjuncts are not available is highly imperative. This observational study serves to present a series of 46 cases of spermatic cord torsion whereby we hypothesize the identification of a clinical knot on scrotal examination as an important clinical aid in making a decision to surgical exploration in patients with acute and subacute SCT, especially in centers where imaging resources are unavailable.