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color doppler scrotum

V Patil, S M C Shetty, S Das
Ultrasonography(US) of the scrotum has been demonstrated to be useful in the diagnosis of fluid in the scrotal sac. Grayscale US characterizes the lesions as testicular or extratesticular and, with color Doppler, power Doppler and pulse Doppler, any perfusion can also be assessed. Cystic or encapsulated fluid collections are relatively common benign lesions that usually present as palpable testicular lumps. Most cysts arise in the epidydimis, but all anatomical structures of the scrotum can be the site of their origin...
November 2015: Ultrasound Int Open
Fumiya Hongo, Masahito Saitoh
We used an Aloka SSD-2000 ultrasound unit with a 5 MHz convex scanner to assess one case of torsion of the spermatic cord, one case of orchitis, and two cases of epididymitis. Color flow imaging showed absence of blood flow signals in the testis in the case of torsion of the spermatic cord, while blood flow signals in the scrotum were significantly increased in the cases of orchitis and epididymitis. Blood flow signals decreased after chemotherapy. Color flow imaging may thus prove useful in the diagnosis and follow-up of patients with acute scrotum...
December 2003: Journal of Medical Ultrasonics
Waldemar Białek, Sławomir Rudzki, Lech Wronecki
This paper presents the case of a very rare capillary hemangioma of the testis in a 23-year-old patient. Physical examination revealed a tumor located in the upper pole of the left testis, which was suspected of being malignant due to its significantly increased density and irregular contours. Blood levels of the following tumor markers were determined: alpha-fetoprotein, human chorionic gonadotropin and lactate dehydrogenase. No abnormalities were found in any of these tests. A gray-scale ultrasound scan of the scrotum revealed a lesion located in the upper pole of the left testis, 24 mm in diameter with slightly decreased echogenicity and irregular contours, which suggested infiltration of the tunica albuginea of the testis...
March 2016: Journal of Ultrasonography
Rahul Rajendra Arkar, Rajesh A Umap, Sudhakar Jadhav
Testis follows a predictable course during its stepwise descent from its site of origin in the lumbar region to its final destination in ipsilateral hemi-scrotum. Undesended (cryptorchid) testis is more prone for neoplastic transformation. Testicular teratoma is rare relative to ovarian teratoma and occurs rarely prenatally than postnatally. Teratoma is composed of derivatives of three germ layers. Ultrasound with color Doppler is the most commonly used modality for assessment of prenatal status. Prenatal diagnosis of cryptorchid testicular teratoma involves identification of well-defined, complex solid-cystic lesion with calcifications along the path of testicular descent and absent testis in ipsilateral hemi-scrotum at 36 weeks of gestation...
January 2016: Indian Journal of Radiology & Imaging
Anna L Kühn, Eduardo Scortegagna, Kristina M Nowitzki, Young H Kim
Ultrasonography is the ideal noninvasive imaging modality for evaluation of scrotal abnormalities. It is capable of differentiating the most important etiologies of acute scrotal pain and swelling, including epididymitis and testicular torsion, and is the imaging modality of choice in acute scrotal trauma. In patients presenting with palpable abnormality or scrotal swelling, ultrasonography can detect, locate, and characterize both intratesticular and extratesticular masses and other abnormalities. A 12-17 MHz high frequency linear array transducer provides excellent anatomic detail of the testicles and surrounding structures...
July 2016: Ultrasonography
Pietro Pepe, Astrid Bonaccorsi, Giuseppe Candiano, Francesco Pietropaolo, Paolo Panella, Michele Pennisi
Acute scrotum constitutes the most common urological emergency secondary to spermatic cord torsion, testicular trauma, orchiepididymitis and hernias. We report a very rare case of unique traumatic spermatic cord hematoma following scrotum injury occurred during a football match. Clinical exam showed an increased volume of the left spermatic cord; the color Doppler ultrasound (CDU) demonstrated left testicular ischemia secondary to a large spermatic cord hematoma that needs surgical exploration. Spermatic cord hematoma rarely induces acute scrotum, however it could be treated conservatively surgery is mandatory when pain is persistent or testicular ischemia is confirmed by CDU...
March 2015: Urology Case Reports
Goto Gangkak, Anoop Mishra, Shivam Priyadarshi, Vinay Tomar
We report a case of 24-year-old male presenting with painless penoscrotal swelling for 3 years. On examination, a large soft bag of worm-like, superficial, nonpulsatile swelling was present in scrotum and penis. Color Doppler showed dilated tortuous vessels and on angiography no connections to corpora or vessels were seen. So a diagnosis of hemangioma was made and a surgical excision was carried out by circumcoronal and scrotal incisions. Postop course was uneventful. At 6 months of follow-up, no recurrence was seen and wound had healed with excellent cosmetic appearance...
2015: Case Reports in Urology
Qun Lu, Changwei Ji, Gutian Zhang, Huibo Lian, Shiwei Zhang, Xiaogong Li, Weidong Gan, Hongqian Guo
OBJECTIVE: To improve the diagnosis and treatment of testicular torsion. METHODS: The clinical features of 49 testicular torsion patients admitted to Department of Urology Nanjing Drum Tower Hospital from April 2008 to March 2014 were retrospectively analyzed, the average age was (21 ± 6) years (range 13-52 years).Forty-four cases underwent the color Doppler flow imaging of scrotum, demonstrated reduction of the testicular blood supply in 9 cases and loss of the testicular blood supply in 35 cases...
August 1, 2015: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
Yu-Jia Yang, Bo Xiang, Ju-Xian Liu, Mei Yang, Hui-Zhu Chen
A 31-month-old boy with Wilms' tumor (WT), which primarily had originated from the left kidney, was treated with nephrectomy and adjuvant chemotherapy. 2 months after nephrectomy, a left scrotal mass was found at routine follow-up. High-frequency sonography examination revealed an enlarged left testis with a heterogeneous texture and a hypoechoic solid mass in the left scrotum. Moreover, hypervascular signals presented in both the left testis and the mass on color Doppler flow imaging. Left orchiectomy was performed for suspected intrascrotal metastasis of WT, which was confirmed by histopathology examination...
October 2015: Journal of Medical Ultrasonics
Mohsen Rouzrokh, Alireza Mirshemirani, Ahmad Khaleghnejad-Tabari
BACKGROUND: Testicular torsion (TT), or twisting of the testicle resulting in a strangulation of the blood supply, occurs in men whose tissue surrounding the testicle is not well attached to the scrotum. It is important to emphasize that testicular torsion is a medical emergency. OBJECTIVES: The aim of this study is to evaluate the second look exploration and outcomes in TT. PATIENTS AND METHODS: Seventy boys out of 124 patients underwent early exploration and 48 hours later second look exploration due to TT...
August 2015: Iranian Journal of Pediatrics
Salvatore Arena, Pietro Impellizzeri, Patrizia Perrone, Gianfranco Scalfari, Antonio Centorrino, Nunzio Turiaco, Tiziana Russo, Pietro Antonuccio, Carmelo Romeo
INTRODUCTION: Classically, surgical approach for palpable undescended testis (pUDT) consists is an inguinal orchidopexy. In fact, a double incision allows an adequate mobilization of the spermatic cord and an easy dissection of a patent processus vaginalis and also to perform a subdartos pouch. For reduce potential mobility of the inguinal approach, in 1989 Bianchi and Squire proposed a transcrotal orchidopexy, using a high scrotal incision. We report our experiences and retrospectively evaluate the feasibility and postoperative success of the transcrotal approach for treatment of pUDT...
February 2016: European Journal of Pediatric Surgery
Zhenxing Sun, Mingxing Xie, Feixiang Xiang, Yue Song, Cheng Yu, Yanrong Zhang, Sachin Ramdhany, Jing Wang
Real-time shear-wave elastography (SWE) is a newly developed method which can obtain the stiffness of tissues and organs based on tracking of shear wave propagation through a structure. Several studies have demonstrated its potential in the differentiation between diseased and normal tissue in clinical practices, however the applicability to testicular disease has not been well elucidated. We investigated the feasibility and reproducibility of SWE in the detection of testicular torsion. This prospective study comprised 15 patients with complete testicular torsion...
2015: PloS One
You Yu, Feng Zhang, Qun An, Long Wang, Chao Li, Zhilin Xu
BACKGROUND: Scrotal exploration is considered the procedure of choice for acute scrotum. OBJECTIVES: We evaluated the importance of early diagnosis and testicular salvage on the therapeutic outcomes of patients with pediatric testicular torsion (TT) and testicular appendage torsion (TAT) in our geographic area. PATIENTS AND METHODS: We performed a retrospective database analysis of patients who underwent emergency surgery for TT or TAT between January 1996 and June 2009...
February 2015: Iranian Journal of Pediatrics
Mikahl Lev, Jacob Ramon, Yoram Mor, Jeffrey M Jacobson, Michalle Soudack
PURPOSE: The most common cause of acute scrotum in prepubertal boys is torsion of the testicular or epididymal appendages. The purpose of this retrospective study was to characterize the features of these lesions as viewed on sonographic (US) and color Doppler US examination. METHODS: During a 220-week period, 527 male patients 0-17 years old had been referred from the pediatric emergency department for scrotal US evaluation. Torsion of the appendix testis or appendix epididymis had been diagnosed in 19 (3...
October 2015: Journal of Clinical Ultrasound: JCU
Yoo Seok Kim, Soon Ki Kim, In-Chang Cho, Seung Ki Min
PURPOSE: To determine effectiveness of Valsalva maneuver and standing position on scrotal color Doppler ultrasound (CDU) for the varicocele diagnosis. MATERIALS AND METHODS: We reviewed the physical examination and CDU finding in 87 patients who visited National Police Hospital from January 2011 to April 2014. Diameters of pampiniform plexus were measured bilaterally during resting and Valsalva maneuver in the supine position and standing position. We calculated the ratio of mean of maximal vein diameter (mMVD) during resting and Valsalva maneuver (resting-Valsalva ratio) and compared in the both position...
February 2015: Korean Journal of Urology
Alka M Agrawal, Prem Siddharth Tripathi, Amit Shankhwar, C Naveen
BACKGROUND AND OBJECTIVE: An acute scrotum is defined as acute pain with or without scrotal swelling, may be accompanied by local signs or general symptoms. Acute scrotal pain is a medical emergency. Depending on cause, the management is entirely different. Torsion of testis and strangulated hernia are surgical emergency; whereas, epididymo-orchitis is treated by medicines. Testicular trauma and obstructed hernia can be differentiated by taking history from patient. Physical examination adds only a little information...
October 2014: Journal of Family Medicine and Primary Care
Antonio Vavallo, Francesco Lafranceschina, Giuseppe Lucarelli, Carlo Bettocchi, Pasquale Ditonno, Michele Battaglia, Francesco Paolo Selvaggi
We report a case of capillary hemangioma of the scrotum. A 52-year-old male presented with a left scrotum swelling that had arisen suddenly two months before. Scrotal ultrasound revealed a dishomogeneous mass in the left scrotum. The mass demonstrated blood flow in the color Doppler mode. Scrotal mass excision was performed. Pathological evaluation revealed a capillary hemangioma.
December 2014: Archivio Italiano di Urologia, Andrologia
Massimo Valentino, Michele Bertolotto, Pasquale Martino, Libero Barozzi, Pietro Pavlica
The increased use of ultrasound in patients with urological and andrological symptoms has given an higher detection of intra-testicular nodules. Most of these lesions are hypoechoic and their interpretation is often equivocal. Recently, new ultrasound techniques have been developed alongside of B-mode and color-Doppler ultrasound. Although not completely standardized, contrast-enhanced ultrasound (CEUS) and tissue elastography (TE), added to traditional ultrasonography, can provide useful information about the correct interpretation of incidentally detected non-palpable testicular nodules...
December 2014: Archivio Italiano di Urologia, Andrologia
Yi Wei, Shengde Wu, Tao Lin, Dawei He, Xuliang Li, Junhong Liu, Xing Liu, Yi Hua, Peng Lu, Guanghui Wei
BACKGROUND: To describe 19 years of clinical experience managing pediatric patients with testicular yolk sac tumors at the Chongqing Medical University Affiliated Children's Hospital. METHODS: This study involved a retrospective review of the records of 61 pediatric patients who presented with testicular yolk sac tumor at our institution between 1995 and 2014. RESULTS: All patients presented with a painless scrotal mass. Serum alpha-fetoprotein (AFP) levels were elevated (n = 15)...
2014: World Journal of Surgical Oncology
Matthew J Watson, Donald P Bartkowski, Nathan C Nelson
PURPOSE: We identified an intratesticular pressure at which vascular flow would cease in a testicular compartment syndrome model, defining a critical vascular stop flow pressure. MATERIALS AND METHODS: A total of 52 male Sprague Dawley® rats were used for the study. The testicle of each rat was delivered from the scrotum and size measurements were taken. An intracompartment pressure monitor needle was inserted into the testis to record basal intratesticular pressure...
June 2015: Journal of Urology
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