Constipation as a cause of scrotal pain in children

Six boys with scrotal pain and constipation were seen at our hospital withi n the past 5 years, All boys had no clinical findings of structural or infe ctious derangements, and experienced relief of testicular symptoms after ev acuation of the fecal mass. The association between constipation and scrota l pain has not been previously reported, and may represent direct neural st imulation 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 appro priate therapy for these patients. (Am J Emerg Med 2001;19:290-292 Copyrigh t (C) 2001 by W.B. Saunders Company).