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Role of color Doppler ultrasonography in evaluation of scrotal swellings: pattern of disease in 120 patients with review of literature.
Urol J. 2011 Winter; 8(1):60-5.UJ

Abstract

PURPOSE

To determine the value of color Doppler ultrasonography (CDUS) as a routine investigational method for diagnosis of scrotal pathologies.

MATERIALS AND METHODS

This prospective observational study (case series) was carried out over a period of 16 months on 122 patients in the age range of 13 to 70 years old, who presented with scrotal swellings. After adequate history taking and examination, CDUS was performed. The diagnosis of the surgeon and that of radiologist were compared with final outcome, which was based on course and outcome of the disease, fine needle aspiration cytology results, and operative findings.

RESULTS

The final diagnoses were epididymitis or epididymo-orchitis (46), hydrocele (26), varicocele (16), testicular malignancy (16), orchitis (6), testicular torsion (4), spermatic cord injury (2), hematocele (2), and pyocele (2). Color Doppler ultrasonography accurately diagnosed all cases of epididymitis or epididymo-orchitis, spermatic cord injury, testicular torsion, varicocele, and hydrocele (sensitivity 100% and specificity 100%). Of 16 subjects diagnosed as testicular malignancy on CDUS, only 14 were subsequently found to have malignancy. Two cases of orchitis were wrongly diagnosed as malignancy. Similarly, of 6 patients diagnosed as orchitis, 1 was found to have seminoma (sensitivity 87.5% and specificity 66.7%). Overall sensitivity of CDUS in diagnosing scrotal diseases was 98% while specificity was 66.7%.

CONCLUSION

Color Doppler ultrasonography is an excellent, a safe, and reliable method for evaluating patients with scrotal diseases. It aids in diagnosis of testicular tumors and reduces the number of unnecessary exploratory operations. It is especially important in conditions like testicular torsion where immediate diagnosis is required.

Authors+Show Affiliations

Department of Surgery, Jawaharlal Nehru Medical College, A.M.U., Aligarh, India.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

21404205

Citation

Rizvi, Syed Amjad Ali, et al. "Role of Color Doppler Ultrasonography in Evaluation of Scrotal Swellings: Pattern of Disease in 120 Patients With Review of Literature." Urology Journal, vol. 8, no. 1, 2011, pp. 60-5.
Rizvi SA, Ahmad I, Siddiqui MA, et al. Role of color Doppler ultrasonography in evaluation of scrotal swellings: pattern of disease in 120 patients with review of literature. Urol J. 2011;8(1):60-5.
Rizvi, S. A., Ahmad, I., Siddiqui, M. A., Zaheer, S., & Ahmad, K. (2011). Role of color Doppler ultrasonography in evaluation of scrotal swellings: pattern of disease in 120 patients with review of literature. Urology Journal, 8(1), 60-5.
Rizvi SA, et al. Role of Color Doppler Ultrasonography in Evaluation of Scrotal Swellings: Pattern of Disease in 120 Patients With Review of Literature. Urol J. 2011;8(1):60-5. PubMed PMID: 21404205.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Role of color Doppler ultrasonography in evaluation of scrotal swellings: pattern of disease in 120 patients with review of literature. AU - Rizvi,Syed Amjad Ali, AU - Ahmad,Ibne, AU - Siddiqui,Mohammed Azfar, AU - Zaheer,Samreen, AU - Ahmad,Kaleem, PY - 2011/3/16/entrez PY - 2011/3/16/pubmed PY - 2011/7/30/medline SP - 60 EP - 5 JF - Urology journal JO - Urol J VL - 8 IS - 1 N2 - PURPOSE: To determine the value of color Doppler ultrasonography (CDUS) as a routine investigational method for diagnosis of scrotal pathologies. MATERIALS AND METHODS: This prospective observational study (case series) was carried out over a period of 16 months on 122 patients in the age range of 13 to 70 years old, who presented with scrotal swellings. After adequate history taking and examination, CDUS was performed. The diagnosis of the surgeon and that of radiologist were compared with final outcome, which was based on course and outcome of the disease, fine needle aspiration cytology results, and operative findings. RESULTS: The final diagnoses were epididymitis or epididymo-orchitis (46), hydrocele (26), varicocele (16), testicular malignancy (16), orchitis (6), testicular torsion (4), spermatic cord injury (2), hematocele (2), and pyocele (2). Color Doppler ultrasonography accurately diagnosed all cases of epididymitis or epididymo-orchitis, spermatic cord injury, testicular torsion, varicocele, and hydrocele (sensitivity 100% and specificity 100%). Of 16 subjects diagnosed as testicular malignancy on CDUS, only 14 were subsequently found to have malignancy. Two cases of orchitis were wrongly diagnosed as malignancy. Similarly, of 6 patients diagnosed as orchitis, 1 was found to have seminoma (sensitivity 87.5% and specificity 66.7%). Overall sensitivity of CDUS in diagnosing scrotal diseases was 98% while specificity was 66.7%. CONCLUSION: Color Doppler ultrasonography is an excellent, a safe, and reliable method for evaluating patients with scrotal diseases. It aids in diagnosis of testicular tumors and reduces the number of unnecessary exploratory operations. It is especially important in conditions like testicular torsion where immediate diagnosis is required. SN - 1735-546X UR - https://www.unboundmedicine.com/medline/citation/21404205/Role_of_color_Doppler_ultrasonography_in_evaluation_of_scrotal_swellings:_pattern_of_disease_in_120_patients_with_review_of_literature_ L2 - http://journals.sbmu.ac.ir/urolj/index.php/uj/article/view/934/534 DB - PRIME DP - Unbound Medicine ER -