ULTRASOUND OF SCROTUM: UTILITY IN SCROTAL SWELLING
Keywords:Scrotal, Radiological, Ultrasouns.
Background: The objective of our study was to evaluate the role of ultrasound, colordoppler and spectral waveform studies in evaluating a patient with scrotal swelling in order to determine the underlying pathologic condition.
Methods: Hospital based prospective observational study, 120 cases of scrotal swellings were examined with grey scale and colordopplerstudies, and when indicated, with spectral waveform studies. The examination was performed with a using high-frequency transducer between November 2020 and January 2021.
Results: The commonest pathology detected in our study was inflammatory lesions in the scrotum. These included acute epididymo-orchitis, acute epididymitis, chronic epididymo-orchitis and testicular abscess. The next most common pathology noted was hydrocele, seen in 27 patients 22.5% of cases).
Conclusion: The superficial location of the testis in the scrotal sac lends itself to ease of access when performing an ultrasound. Ultrasound greatly helps in arriving at a clinical diagnosis in cases of scrotal swelling with or without pain. The presence, absence, or alteration of flow detected on colordoppler and spectral waveform analysis is one of the key factors that help in deciding the nature and severity of pathology.
Keywords: Scrotal, Radiological, Ultrasouns.
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