Scrotal pathologies; role of high resolution and Doppler ultrasound in evaluation

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