Ultrasonography (Grey scale imaging and colour Doppler) in evaluation of acute scrotal pain

Abstract

Introduction: Ultrasonography with high frequency linear probe and Color Doppler is very important in evaluation of scrotal pathology in patients with acute scrotal pain. Computed tomographyeexposes testicles to theeradiation and MRI is not so easily available. Thereforefultrasound with color Doppler is the bestdsuited modality for the evaluation of scrotal pathologies in patients with acute scrotal pain asqit is simple, noninvasive, reproducible, relatively inexpensive and widely available investigation that will not exposeqthe testis to radiation. Aims and Objectives: Toqclassify (etiologically) and to evaluate various scrotal pathologies in patients with acute scrotal pain using ultrasonography and describe the role of High resolution ultrasound transducer (7-11 MHz) and colour doppler in their diagnosis and differentiation. Materials and Methods: The study was done on 60 patients over period of One year (2021-2022) who were referred to the radiology department by the General Surgery and department of urology for scrotal ultrasound and Doppler study at Dhiraj Hospital,S.B.K.S medical institute and research centre, Pipariya, Waghodia, Baroda. Results: Ofethe 60 patientsestudied, incidence of various pathologies were as follows -inflammatory pathology in 75%, torsion in 13.3%, trauma in 6.7%, and others in 5%. Imaging features of different pathologies causing acute scrotal pain are described.