Abstract

Background: Acute scrotum is defined as acute pain with or without scrotal swelling,
may be accompanied by local signs or general symptoms. The present study was
conducted to assess usefulness of high resolution ultrasonography and color doppler in
diagnosis and differentiating of scrotal diseases.
Materials & Methods: 87 patients of scrotal diseases was included. A thorough
examination was performed and symptoms and clinical diagnosis was made. All the
patients underwent scrotal ultrasonography using 7.0- 12.0 MHZ high frequency linear
array transducer coupled with colour doppler in Esaote My Lab 40 and Phillips affinti
70G equipment. The ultrasound findings were recorded.
Results: Age group 20-30 years had 47, 31-40 years had 25 and 41-50 years had 15
patients. The difference was significant (P< 0.05). Common diagnosis was hydrocele in
25, epididymal cyst in 20, pyocele in 11, funiculitis in 4, epididymitis in 5, testicular
abscess in 8, varicocele in 8 and testicular tumour in 6 cases. The difference was
significant (P< 0.05). Left side was involved in 32, right side in 28 and both sides in 27
cases. The difference was significant (P< 0.05).
Conclusion: High frequency ultrasonography with color doppler is an efficient
diagnostic imaging modality in the evaluation of scrotal diseases.