Evaluation of Scrotal Pathologies Using Ultrasound (Code-T0157)

Introduction: Scrotal pathologies encompass a wide range of conditions, including inflammatory, congenital, traumatic, and neoplastic disorders. Ultrasound with color Doppler imaging has emerged as the diagnostic modality of choice due to its non-invasive nature, cost-effectiveness, and high sensitivity.

Aims and Objectives:

1. To determine the role of ultrasonography in diagnosis of scrotal disorders.
2. to establish surgical versus non surgical treatment by diagnosis of scrotal pathologies.

Methods: A cross-sectional study was conducted on 73 male patients aged 12 years and older presenting with scrotal symptoms to the Radiodiagnosis Department at Adichunchanagiri Hospital. Data collection involved clinical assessments, patient history, and ultrasonography using high-frequency grayscale and color Doppler imaging. Statistical analyses were performed using SPSS with significance set at p<0.05.

Results: Common findings included hydrocele (37%), epididymal cysts, epididymo-orchitis, and varicocele. Inflammatory conditions were prevalent, and high-resolution ultrasound effectively differentiated between intratesticular (typically malignant) and extratesticular (typically benign) lesions. Doppler imaging provided critical insights into vascular abnormalities, such as testicular torsion and varicocele, influencing surgical intervention decisions.

Conclusion: Ultrasound, combined with color Doppler imaging, is a reliable and indispensable tool for the evaluation of scrotal pathologies. It enables precise diagnosis, guides management strategies, and minimizes unnecessary surgical interventions. Further research could explore its utility in specific subgroups and long-term outcomes.

Keywords: Ultrasound, color Doppler, scrotal pathologies, testicular torsion, hydrocele, radiodiagnosis