Color Doppler Evaluation of Scrotal Swellings
Journal Title: INTERNATIONAL JOURNAL OF CURRENT RESEARCH IN MEDICAL SCIENCES - Year 2018, Vol 4, Issue 1
Abstract
Aim: The present study was aimed to study the role of Colour Doppler ultrasonography in intra-scrotal swellings and to compare the findings of scrotal colour Doppler ultrasonography with clinical, surgical and histopathological findings where indicated. Introduction: Scrotal swellings can present with acute pain or can be chronic non-painful swellings and swellings can be intra-testicular or extra-testicular. Color Doppler Sonography (CDS) is very valuable in differentiating intratesticular and extra-testicular pathologies and also in differentiating acute painful conditions like inflammatory lesions and torsion, which helps in avoiding unnecessary surgical explorations and timely intervention in cases of tortion can save the testicles from infarction. Also color Doppler study of scrotum is more sensitive and specific for diagnosis of chronic lesions like hydrocele, epididymal cysts and varicocele than clinical palpation. Observations: In the present study of 80 patients, the mean age of patients was 35.25 + 12.93 years. Maximum no. of patients were between 30 to 40 yrs. Clinically most common lesions were inflammatory lesions 20 cases (25%). On CDS examination, out of chronic painless swellings, epidydimal cysts were most common lesion. Extra-testicular lesions were more common than intra-testicular lesion. In intra-testicular lesions, testicular tumors were most common. Out of extra-testicular lesions, epididymal cysts were most common with 36 cases (45%). Hydrocele was second common lesion with 28 cases (35%). CDS was able to detect 100% of cases of tortion or inflammatory lesions accurately. Results: CDS showed 100% sensitivity and 100% specificity in detecting testicular tortion as compared to clinical examination showing 100% and 91.89% respectively. CDS showed 100% sensitivity and 100% specificity in detecting inflammatory lesion as compared to clinical examination showing 75% and 96.4% respectively. US/CD was more sensitive in detecting chronic lesions like epidydimal cysts, varicocele, hydrocele etc
Authors and Affiliations
*Jatinder Pal Singh, *Paramjit Singh Josh, ***N. S. Neki
Keywords
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- EP ID EP550410
- DOI 10.22192/ijcrms.2018.04.01.009
- Views 137
- Downloads 0
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