SCROTAL PATHOLOGIES;

Role of high resolution & Doppler ultrasound in evaluation

Abstract

Objectives: To assess common presenting complaints & the role of Grey Scale and Doppler ultrasound in evaluation of
scrotal pathologies. Design: Cross sectional study, Setting: Khyber X rays, Khyber Medical Centre, Peshawar. Period: July 2011 to
December 2011. Material and Methods: Data from patients presenting for evaluation of scrotal pathologies was analyzed for presenting
complaints and ultrasound findings according to objectives of the study. Results: In total 210 cases were included in the study. The age
wise categorization included pediatric population (14.3%) adult population (80.9%) and geriatric population (4.3%). Pain was the most
common presenting feature in all age. Other major presenting complaints included swelling, absent testis, history of trauma, lower urinary
tract symptoms (LUTS), and infertility. Hydrocele was the most common finding overall. Other major ultrasound finding included
varicocele, epididymo-orchitis, spermatocele, atrophic testis, undescended testis tumors and complications of trauma. Conclusions:
Scrotal pathologies are among the frequently encountered problems in our region. Ultrasound is a sensitive and useful tool for evaluation
of scrotal pathologies.