Value of scrotal ultrasonography in scrotal swelling evaluation

ABSTRACT

The value of routine ultrasonography was evaluated in prospective study of 100 men with scrotal swelling. Ultrasonography [US] had a sensitivity of 100% and specificity of 99% for testicular tumor. Clinically, useful information was provided in 55% of patients and 10% might have avoided surgery if the ultrasound report was needed. Ultrasonography did not provide any additional information in patients with scrotal pain and an entirely normal scrotum clinically and in those with epididymal cysts in whom the testis was palpably normal. If these two groups were excluded from routine scrotal Ultrasonography, there would have been a 25% reduction in the number of examinations without any reduction in diagnostic yield