ABSTRACT
To assess the role of ultrasound in evaluation of scrotal surgical condition, Fifty patients with acute scrotum [suspicion of torsion, acute epididymo - orchitis, trauma] or scrotal mass or clinically equivocal low grade varicocele in infertile men, their scrotums were checked by ultrasound [B-mode and color doppler ultrasound using 7.5 MHz linear probe]. We conclude that ultrasound is ideal in localization of scrotal pathology whether from Testis -Epididymis - Spermatic cord or from Scrotal wall. Doppler ultrasound is optimum test to differentiate acute epididymo- orchitis with normal or increased vascular flow from acute testicular torsion with absent flow to the testis and epididymis. All patients with hydrocele should be checked by ultrasound to exclude hidden causative testicular tumor or associated lesion. In blunt scrotal trauma, ultrasound exam aid to take immediate or early decision to do surgical exploration or to proceed in conservative treatment
Subject(s)
Humans , Male , Scrotum/pathology , Acute Disease , Ultrasonography, Doppler, Color , Epididymitis/diagnostic imaging , Orchitis/diagnostic imaging , Spermatic Cord Torsion , Testicular Hydrocele/diagnostic imaging , Testicular Neoplasms/diagnostic imaging , Scrotum/injuriesABSTRACT
Increasing attention has been directed to ultrasound role in evaluation of pathology of superficial organs such as the scrotum. The aim of this work is to highlight the increasing role of ultrasonography in diagnosis of acute scrotal lesions. The study was prformed on 50 patients. The apparatus used a real time, high resolution 5 MHz probe. Five cases of pyocele, 10 haematocele, 15 acute epididymitis, 16 orchitis, 2 testicular traumatic rupture and infarction and 2 testicular torsion were encountered. We conclude by saying that scrotal sonography provides rapid sensitive modality for evaluation of acute scrotal lesions