Author(s):
Anagha Vaidya Deshpande, Sonvane Dinesh Bhagwanrao, Bhawana Sonawane, Ramesh R Chaple
Abstract:
Background: Scrotal disorders can be divided into three groups which are extra-testicular lesion, intra-testicular lesion and traumatic lesions. Scrotal ultrasound has proven to be accurate in the evaluation of many scrotal diseases. Its clinical application is on the increase owing to recent technical advances in high resolution real-time and color Doppler imaging. Objective: To evaluate the sonographic appearances and role of colour Doppler imaging in diagnosis of scrotal disorders. Materials and methods: The present prospective observational study was done among 300 patients referred to the department of Radio-diagnosis, Indira Gandhi Government medical college, Nagpur with acute and/or chronic scrotal pain and /or scrotal swelling from various clinical departments during September 2017 to July19. Patients with primary and secondary infertility and varicocele and degloving injury resulting into scrotal skin avulsion were excluded. Patient details, detailed September 2018. Clinical history was obtained along with thorough physical examination before subjecting the patients for ultrasound examination. The Grey scale & color Doppler ultrasound routinely performed in all these patients. Results: Out of 300 patients, highest number of cases presented were in the age group of 31 to 40 years (23.67%). Commonest clinical presentation was combination of symptoms like, pain and scrotal swelling (34.67%), only swelling (23.67%). Inflammatory pathology was detected in 96 (32%) cases followed by hydrocele which was noted in 87 (29%) cases, undescended testis was noted in 25 (8.33%) cases, inguinal hernia was noted in 32 (10.67%) cases, epididymal cysts were noted in 20 (6.67%) cases, scrotal neoplastic lesions were noted in 7 (2.3%) cases. Torsion of the testis was detected in 1 1 (3.67%) cases, varicocele was detected in 11 (3.67%) cases. Few of the pathologies were overlapping like Orchitis with Epididymal cyst. Ultrasound demonstrated scrotal disease in 93%. Scrotal disease was most prevalent in the 20-40 age group constituting 46% of the total cases. The most common presenting complaint was scrotal swelling accounting for 68%. Epididymo-orchitis was the most common finding at sonography, seen in 63% of cases followed by Hydrocele. Conclusion: Ultrasound plays a vital role in evaluation of scrotal disease and is one stop shop investigation for scrotal disorders.
