To assess the role of high resolution ultrasound and colour Doppler in diagnosis and differentiation of scrotal pathologies.
Material and methods: A retrospective study was conducted in the Department of Radiology in Maharishi Markandeshwar Medical College & Hospital, Kumarhatti, Solan (H.P.), from October 2019 to October 2020. The 30 patients with clinical features of scrotal diseases were included in this study. All the patients included in the study underwent scrotal ultrasonography with color Doppler.
Results: The study included a total of 30 patients. The patients most commonly involved were those belonging to the age group of 30 to 40 years (n = 16; 53.3%). The most common cause of scrotal pathologies was hydrocele (n=12, 25.5%) followed by epididymal cyst (n= 8, 17%), epididymo-orchitis (n =4, 8.5%), epididymitis (n = 4; 8.5%).The number of scrotal lesions seen on the left side was 22 (46.8%), on the right side were 21 (44.6%) and in bilateral locations were 4 (8.5%).
Conclusion: High frequency ultrasonography with colour Doppler studies is a great tool for diagnosing scrotal disorders. It is the preferred method because of its great sensitivity, ease of use, availability, repeatability, and lack of ionising radiation. Patients with inflammatory scrotal lesions should have periodic USG scans to assess therapy response and detect complications.