Role of High-Resolution Sonography and Color Doppler Flow Imaging in the Evaluation of Scrotal Pathologies

Muhammad Zubair , Noraiz Ali , Mishal Javaid , Midrarullah Khan , Zafar Iqbal

Abstract: BACKGROUND: Ultrasound is the ideal noninvasive imaging modality for assessment of scrotal pathologies. It is skilled of distinguishing the most important etiologies of acute scrotal pain and swelling, including epididymitis and testicular torsion, and is the imaging modality of choice in scrotal swelling. OBJECTIVE: To role out the scrotal pathologies by using grayscale and color Doppler examinations. METHOD AND METERIAL: This cross-sectional study was conducted at the Radiology Department of Jinnah Hospital Lahore. The duration of study was from July 2019 to October 2019. Total 60 male Individuals with scrotal swelling who underwent scrotal ultrasonography. The maximum age of the individuals was 70 years and the minimum age of individuals was 12 years. All data were analysis with SPSS version 24. RESULTS: Total of 60 male individuals with scrotal swelling included in this study. The most common scrotal abnormalities were hydrocele which is observed in 35(58.34%) individuals, varicocele in 10(16.67%), Epididymo-orchitis was present in 10(16.67%), Spermatocele m 2(3.33%), epididymal cyst in 2(3.33%) and torsion in only 1(1.66%) individual. CONCLUSION: Ultrasound is able to properly guide patient management and possibly avoid unnecessary surgical intervention. Grayscale ultrasonography in combination with color Doppler is an effective and noninvasive technique of diagnosis in patient's evaluation of scrotal pathologies.

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