Response to commentary to ‘The acute scrotum in infancy: A retrospective regional study’

Published:October 30, 2021DOI:https://doi.org/10.1016/j.jpurol.2021.10.022
      This commentary makes some very pertinent points and highlights limitations to our paper that we freely acknowledge. However, we feel there is a danger in dismissing a piece of work for what it isn't, rather than appreciating it for what it is. We do present a significant series of what happens in the real world to infants with an acute scrotum. The paediatric population from which it is drawn is estimated at 1.8 million in a very crowded part of London south of the Thames and the South-East of England (Kent, Surrey, Sussex). Almost certainly we have captured all the episodes of acute scrotum (n = 25) in this age-group (<1 year) during this 2-year-period, as it would be highly unlikely that surgery would be attempted outside the 4 centres and the results are simply what they are.
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