Evaluation of Scrotal Diseases with High Frequency Ultrasonography and Colour Doppler Sonography
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 12
Abstract
Introduction: Ultrasonography (USG) has been established as an essential imaging modality in diagnosing scrotal pathology. This study aimed at assessing the utility of evaluating scrotal diseases with high frequency ultrasonography and color Doppler sonography. Methodology: This study was carried out in the Department of Radiology, Dr. R.P.G.M.C. Kangra at Tanda, Himachal Pradesh from July 2016 till June 2017. This study was carried on all consecutive patients referred for scrotal gray scale ultrasonography and/or colour Doppler ultrasonography with scrotal pain or swelling of any duration. The patients underwent gray-scale and colour Doppler ultrasonography of the scrotum in the same sitting with a linear array colour Doppler multi-frequency (7 to 10 MHz) transducer using GE LOGIQ P5 ultrasound scanner. The findings were recorded on a predesigned proforma. Testicular size, blood flow, echogenicity and lesions were noted. Data was tabulated as frequency distribution tables. Results: During the study period 63 patients were included in the study. Acute epididymo-orchitis was the commonest inflammatory pathology noted in 15 cases, followed by scrotal wall inflammation &funiculitis in four cases each. Other cases of inflammatory scrotal pathology were acute epididymitis, acute orchitis, acute on chronic epididymo-orchitis, Fournier’s gangrene and chronic epididymitis.High frequency and color Doppler sonography was accurate in each of these cases in determining the extratesticular or intratesticular origin of these conditions and in further characterisation of these conditions as per their number, vascularity and other sonographic characteristics. Conclusions: High frequency gray scale sonography andColor Doppler ultrasonography in combination is a reliable technique for evaluation of scrotal pathologies and helpful in guiding further management.
Authors and Affiliations
Dr. Dinesh Sood, Dr. Narvir Singh Chauhan, Dr. Hemant Kumar, Dr. Sarthak Sharma, Dr. Anurag Shukla
Keywords
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- EP ID EP251458
- DOI 10.9790/0853-1612092831
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