Constipation as a cause of scrotal pain in children

Six boys with scrotal pain and constipation were seen at our hospital within the past 5 years, All boys had no clinical findings of structural or infectious derangements, and experienced relief of testicular symptoms after evacuation of the fecal mass. The association between constipation and scrotal pain has not been previously reported, and may represent direct neural stimulation or chronic inflammation of testicular structures in patients with dysfunctional voiding. Recognition of the association between constipation and subacute or chronic scrotal pain can guide the clinician towards appropriate therapy for these patients. (Am J Emerg Med 2001;19:290-292 Copyright (C) 2001 by W.B. Saunders Company).