ABSTRACT
To assess common presenting complaints and the role of Grey Scale and Doppler ultrasound in evaluation of scrotal pathologies. Cross sectional study, Khyber X rays, Khyber Medical Centre, Peshawar. July 2011 to December 2011. Data from patients presenting for evaluation of scrotal pathologies was analyzed for presenting complaints and ultrasound findings according to objectives of the study. In total 210 cases were included in the study. The age wise categorization included pediatric population [14.3%] adult population [80.9%] and geriatric population [4.3%]. Pain was the most common presenting feature in all age. Other major presenting complaints included swelling, absent testis, history of trauma, lower urinary tract symptoms [LUTS], and infertility. Hydrocele was the most common finding overall. Other major ultrasound finding included varicocele, epididymo-orchitis, spermatocele, atrophic testis, undescended testis tumors and complications of trauma. Scrotal pathologies are among the frequently encountered problems in our region. Ultrasound is a sensitive and useful tool for evaluation of scrotal pathologies
Subject(s)
Humans , Male , Ultrasonography, Doppler , Testicular Hydrocele/diagnostic imaging , Infertility, Male , Cross-Sectional StudiesSubject(s)
Humans , Male , Spermatic Cord Torsion/diagnosis , Cryptorchidism/congenital , Cryptorchidism/diagnosis , Cryptorchidism/surgery , Cryptorchidism/diagnostic imaging , Spermatic Cord Torsion/surgery , Spermatic Cord Torsion/diagnostic imaging , Testicular Hydrocele/congenital , Testicular Hydrocele/diagnosis , Testicular Hydrocele/diagnostic imaging , Prenatal Diagnosis/statistics & numerical data , Ultrasonography, Doppler, Color/statistics & numerical data , Ureteral Obstruction/congenital , Ureteral Obstruction/complications , Ureteral Obstruction/diagnosis , Orchiectomy/statistics & numerical dataABSTRACT
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