European Journal of Molecular & Clinical Medicine

Abstract

Background & Method: The aim of this study is tostudy the role of high frequency ultrasound with colour Doppler in diagnosis of acute scrotal pain. Ultrasound of scrotum is performed with patient in supine position & the scrotum supported by towel placed between things. A large amount of gel is used to minimize pressure on the scrotal skin. High frequency linear array transducer is used for performing study. Each hemiscrotum is scanned in longitudinal & transverse planes.
 
Result: The most common presenting complaint of the patient was swelling in the scrotal region (49.3%). Many patients had more than one symptoms. Extratesticular lesions was more common in the study (52.6%) than the testicular lesion (20.6%) The left scrotal sac was more commonly affected (42%) in the study. Bilateral   involvement is seen in (25.4%) of cases.
 
Conclusion: High frequency ultra sound combined with colour Doppler remains an accurate, rapid & safe diagnostic tool in imaging scrotum. High frequency ultrasound helps to distinguish intra testicular from extra testicular lesions. Improvement in resolution permitted greater confidence in characterization of lesions. Most common clinical presentation was swelling 49.3% followed by pain (34%). Most of the patients had unilateral involvement of left hemi scrotum (42%) in the study.