Title: Role of Ultrasonography & Colour Doppler in Scrotal Pathologies
Authors: Drumadala I Gajbhiye, Swenil A Shah, Meenakshi I Gajbhiye
DOI: https://dx.doi.org/10.18535/jmscr/v8i5.26
Abstract
Introduction: Ultrasonography (USG) plays a major role in distinguishing intra-testicular from extra-testicular abnormalities. The present day diagnostic armamentarium includes gray scale USG, Doppler studies, CT, MRI in addition to radioisotope studies and testicular angiography. While CT and MRI have dominated imaging of other regions of the body, they have certain limitations in evaluation of scrotal diseases in terms of radiation, cost & availability. USG is exceptionally well suited to study of scrotum and its contents. USG is simple to perform, rapid, non-invasive relatively inexpensive, easily reproducible, widely available and does not involve irradiation of gonads.
Objectives: To evaluate the accuracy of the High Frequency Ultrasound and Colour Doppler in the diagnosis of scrotal pathologies.
Material and Methods: The prospective study was conducted on 200 patients referred for evaluation of scrotal pathology for the period of 2 years from May 2018 to March 2020 from department of surgery and urology.
Results: High frequency grey scale US with Color Doppler sonography accurately differentiates between testicular ischemia / torsion from acute inflammatory diseases in acute painful scrotal conditions. It is also highly sensitive in differentiating intra-testicular from extra testicular origin of scrotal masses. It is highly sensitive in differentiating solid from cystic scrotal masses.
Conclusion: High-frequency ultrasonography and color Doppler sonography has high sensitivity and specificity in diagnosing and evaluating scrotal pathologies. In addition, lack of ionizing radiation, simplicity, wide availability, cost effectiveness and repeatability makes it an extremely valuable modality for scrotal pathologies.
Keywords: Orchitis, Epididymitis, Varicocele, USG, Color Doppler, Scrotum.
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