A Study on Evaluation of Scrotal Lesions by Gray Scale and Colour Doppler Ultrasonography at a Tertiary Care Hospital of South India
Journal Title: International Journal of Contemporary Medicine surgery and Radiology - Year 2018, Vol 3, Issue 3
Abstract
Introduction: Testicular swellings are difficult to diagnose by physical examination alone as well as to differentiate whether arising from testis itself or from extra testicular elements. Ultrasonography has proved to be an exceptional gold standard tool in diagnosis of various scrotal pathologies and conditions. The present study aimed to evaluate the role of high frequency ultrasound and colour Doppler sonography as an investigating modality in distinguishing between testicular and extra testicular pathology. Material and Methods: A one year prospective study was conducted on 100 cases after obtaining consent and approval from ethical committee. Patients of all ages and who fulfilled inclusion criteria were included and performed USG using PHILIPS HD 11 or MINDRAY DC 7 ultra sound machines in supine position. Valsalva manoeuvre was performed in cases of Varicocele to assess dynamic study of cord structures. Colour Doppler imaging was performed to investigate extra testicular vascularisation and testicular perfusion and findings noted. Results: Median age of study group was 38.12± 1.2 years. 51% of cases were between 21-40 years.40 cases of inflammatory pathology, 68 cases of non inflammatory pathology and 6 normal cases were included. Acute epididymitis was the commonest inflammatory pathology (35%) and Hydrocele common non inflammatory pathology (48.8%). The sensitivity and specificity of clinical diagnosis was found to be 45-55% and 90-99% respectively whereas Ultrasound and Colour Doppler aided diagnosis had around 100% sensitivity and specificity. Discussion: High-resolution ultrasonography enables in clear demonstration of morphological alterations associated with acute and chronic scrotal inflammatory diseases. When colour Doppler sonography is supplemented with High frequency grey scale US, the sensitivity of diagnosing acute scrotal pathology will be increased.
Authors and Affiliations
Priyan Voltaire R, Ritesh Kondeti
Keywords
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- EP ID EP424333
- DOI 10.21276/ijcmsr.2018.3.3.34
- Views 124
- Downloads 0
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