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Scrotal ultrasound

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https://www.readbyqxmd.com/read/29761764/case-report-filaria-or-megasperm-a-cause-of-an-ultrasonographic-filarial-dance-sign
#1
J Brad Wiggers, Hyun-Jung Jang, Jay S Keystone
Bancroftian filariasis can cause genital abnormalities related to chronic inflammation and obstruction of the afferent lymphatic vessels, and may demonstrate a "filarial dance sign" on scrotal ultrasound with mobile echogenic particles observed. We present a patient with a positive "filarial dance sign," travel within Latin America and negative filarial serology.
May 14, 2018: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/29730678/reliability-of-testicular-stiffness-quantification-using-shear-wave-elastography-in-predicting-male-fertility-a-preliminary-prospective-study
#2
Alpaslan Yavuz, Adem Yokus, Kerem Taken, Abdussamet Batur, Mesut Ozgokce, Harun Arslan
AIMS: To evaluate the reliability of testicular stiffness quantification using shear wave elastography in predicting the fertility potential of males and for the pre-diagnosis of disorders based upon sperm quantification. MATERIAL AND METHODS: One hundred males between the ages of 19-49 years (mean age of 28.77±6.11), ninety of whom with complaints of infertility, were enrolled in this prospective study. Scrotal grey-scale, Doppler ultrasound (US), and mean testicular shear wave velocity quantifications (SWVQs) were performed...
May 2, 2018: Medical Ultrasonography
https://www.readbyqxmd.com/read/29719331/clinical-radiological-cytological-and-microbiological-assessment-of-painful-extratesticular-lesions
#3
Vivek Agrawal, Ashesh Kumar Jha, Devender Dahiya
Introduction: Most of the painful extratesticular scrotal lesions are erroneously diagnosed and treated in our clinical practice. Therefore, this study was undertaken to analyze the usefulness of a combination of clinical, radiological, cytological, and microbiological assessment in establishing the accurate diagnosis of this lesion. Aim: To study the Clinical, Radiological, Cytological and Microbiological assessment of painful extra-testicular lesions and their correlation with each other in establishing the accurate diagnosis of these lesions...
April 2018: Urology Annals
https://www.readbyqxmd.com/read/29704012/-ceus-use-in-testicular-pathologies
#4
REVIEW
J Marcon, M Trottmann, C G Stief, D A Clevert
BACKGROUND: The work-up of scrotal diseases forms an essential part of daily work in urology. Sonography plays an important role in the diagnostic process, due to its wide availability and feasibility. OBJECTIVES: Advantages of modern contrast-enhanced ultrasound (CEUS) are illustrated using examples of common testicular pathologies. MATERIALS AND METHODS: Relevant studies regarding the application of CEUS on testicular pathologies are evaluated...
April 27, 2018: Der Radiologe
https://www.readbyqxmd.com/read/29695731/a-novel-method-for-investigating-the-role-of-reflux-pattern-in-color-doppler-ultrasound-for-grading-of-varicocele
#5
Seyed Morteza Bagheri, Fatemeh Khajehasani, Hamed Iraji, Iman Fatemi
Varicocele is the most common correctable cause of infertility. Color Doppler Ultrasound (CDUS) has a sensitivity of 97% and specificity of 94% for diagnosing this condition. This study aimed to propose a new pattern of scrotal Doppler for predicting the severity of varicocele. An observational study was conducted from January 2016 to January 2017 on 120 testes units in 60 patients. Scrotal CDUS and semen analysis were done in all participants. Patients were evaluated for reflux pattern, pampiniform venous plexus diameter, and venous reflux time...
April 25, 2018: Scientific Reports
https://www.readbyqxmd.com/read/29687503/are-hormone-measurements-and-ultrasounds-really-predictors-of-sperm-retrieval-in-testicular-sperm-extraction-a-case-report-and-literature-review
#6
G Cito, M E Coccia, R Picone, A Cocci, L Criscuoli, S Dabizzi, G Nesi, S Serni, M Carini, A Natali
Azoospermia can be diagnosed in about 10%-15% of the infertile male population. To overcome the problem of failure to produce spermatozoa in the ejaculate in patients with nonobstructive azoospermia (NOA), testicular sperm extraction (TESE) may be performed to find the focal area of spermatogenesis. A 47-year-old man with NOA presented for treatment of secondary couple infertility. The patient underwent a first TESE 7 years earlier with cryopreservation, and an intracytoplasmic sperm injection-embryo transfer ended in a term pregnancy...
April 23, 2018: Andrologia
https://www.readbyqxmd.com/read/29677634/physiological-variations-in-reproductive-and-metabolic-features-of-white-tailed-deer-odocoileus-virginianus-bucks-throughout-the-rutting-season
#7
Jamie L Stewart, Clifford F Shipley, Robyn E Ellerbrock, Lauren Schmidt, Fabio S Lima, Igor F Canisso
White-tailed deer farming is a growing industry in the United States, yet there is still a need to improve breeding practices in captive cervids. The objective of this study was to compare reproductive and somatic characteristics of white-tailed bucks early in the breeding season (September), at peak rut (December), and late breeding season (March). We hypothesized that reproductive parameters would improve at the peak of the breeding season. Young, mature bucks (n = 7-11, ages 2-3 yr) were anesthetized via projector with tiletamine-zolazepam and xylazine...
April 12, 2018: Theriogenology
https://www.readbyqxmd.com/read/29666095/idiopathic-scrotal-fat-necrosis-an-unusual-cause-of-scrotal-pain
#8
Samuel John Davies, Ross Copping, Rajendra Kumar
The clinical differential diagnosis of scrotal pain with a mass in a prepubertal boy is difficult. Often conditions such as testicular torsion and epididymo-orchitis are diagnosed. We present a rare cause of scrotal pain, idiopathic scrotal fat necrosis. This condition has a typical clinical presentation and ultrasound findings that have been described in a limited number of case reports. However, if it is diagnosed correctly and confirmed with ultrasound, we hope that people will be treated without surgical intervention...
April 17, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29620658/scrotal-paragonimiasis-in-adults-two-case-reports-and-review-of-literature
#9
Tiancai Liang, Guobiao Liang, Yang Du, Xin Wang, Yuanliang Wang, Anjian Chen, Zongping Chen, Jiang Du, Hao Li, Lang Yu
RATIONALE: Paragonimiasis is a parasitic disease caused by Paragonimus in the lungs; it can be divided into intrapulmonary type and extrapulmonary type. Adult patients with scrotal paragnonimus are rarely seen clinically and not widely reported in the literature. Here, we report 2 cases of scrotal paragonimiasis in adults and their treatment process. PATIENT CONCERNS: Two young males sought medical advice because of scrotal masses. Both patients had the previous history of eating uncooked river crabs and presented with palpable quasicircular nodules of about 1...
April 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29572727/should-we-rely-on-doppler-ultrasound-for-evaluation-of-testicular-solid-lesions
#10
Baris Esen, Muhiddin Önder Yaman, Sümer Baltacı
PURPOSE: Colour Doppler ultrasound (CDUS) is the main radiologic tool to evaluate scrotal masses and intratesticular-vascularised solid lesions are mostly considered malign lesions. Objective of this trial is determine ratio of benign lesions in patients with hypervascularised solid intratesticular lesions. MATERIAL AND METHOD: Patients who underwent radical orchiectomy due to hypervascularised intratesticular solid lesions detected in CDUS are evaluated retrospectively...
March 23, 2018: World Journal of Urology
https://www.readbyqxmd.com/read/29572055/prospective-evaluation-of-predictors-of-testis-atrophy-after-surgery-for-testis-torsion-in-children
#11
Gwen M Grimsby, Bruce J Schlomer, Vani S Menon, Lauren Ostrov, Melise Keays, Kunj R Sheth, Carlos Villanueva, Candace Granberg, Daniel Dajusta, Martinez Hill, Emma Sanchez, Clanton B Harrison, Micah A Jacobs, Berk Burgu, Halim Hennes, Linda A Baker
OBJECTIVE: To prospectively correlate pain duration, red scrotal skin, ultrasound appearance of testis, and intra-operative testis color to future testis atrophy after acute testicular torsion. METHODS: Consecutive children 2 months to18 years old with unilateral acute scrotum were enrolled in a NIH trans-cutaneous near infrared spectroscopy study, with a sub-group analysis of the true torsion group. Presence/absence of red scrotal skin, pain duration, testicular heterogeneity on pre-operative ultrasound, and intra-operative testis color based on a novel visual chart 5 minutes after detorsion were recorded...
March 20, 2018: Urology
https://www.readbyqxmd.com/read/29484233/giant-malignant-fibrous-histiocytoma-of-the-testis
#12
Volkan Ülker, Hasan Anıl Atalay, Çağlar Çakır, Aytül Sargan
We present a case of malignant fibrous histiocytoma of the testis in a 59 year- old male who admitted to our hospital with left testicular painless mass presenting for two months. A scrotal ultrasound examination and magnetic resonance imaging revealed a 9 cm left testicular solid mass. Serum tumor markers were unremarkable. The patient underwent left radical orchiectomy. Histopathologic diagnosis was giant cell variant of malignant fibrous histiocytoma which composed of varying amounts of a mixture of spindled, rounded and osteoclastic type giant cells...
January 2018: Turkish Journal of Urology
https://www.readbyqxmd.com/read/29479447/severe-bilateral-adrenal-hemorrhages-in-a-newborn-complicated-by-persistent-adrenal-insufficiency
#13
Nicholas R Zessis, Jennifer L Nicholas, Stephen I Stone
Bilateral adrenal hemorrhages rarely occur during the neonatal period and are often associated with traumatic vaginal deliveries. However, the adrenal gland has highly regenerative capabilities and adrenal insufficiency typically resolves over time. We evaluated a newborn female after experiencing fetal macrosomia and a traumatic vaginal delivery. She developed acidosis and acute renal injury. Large adrenal hemorrhages were noted bilaterally on ultrasound, and she was diagnosed with adrenal insufficiency based on characteristic electrolyte changes and a low cortisol (4...
2018: Endocrinology, Diabetes & Metabolism Case Reports
https://www.readbyqxmd.com/read/29473389/right-ectopic-intrathoracic-kidney-unusual-clinical-presentation-in-a-young-patient-affected-by-scrotal-varicocele
#14
Lucio Dell'Atti, Andrea Benedetto Galosi
Intrathoracic kidney is a partial or complete displacement of the kidney above the hemidiaphragm into the mediastinal compartment of the thorax. It is usually seen as an incidental finding discovered on chest radiograph or abdominal ultrasound. However computed tomography consents the correct detection of intrathoracic masses and defines their shape, size, and extent. We here report a case of ectopic thoracic kidney in a 22-year-old man who had a long history of scrotal discomfort associated with right varicocele...
December 31, 2017: Archivio Italiano di Urologia, Andrologia
https://www.readbyqxmd.com/read/29463977/a-ureteral-inguinoscrotal-hernia-from-a-pelvic-kidney
#15
Ayse V Dikmen, Cagri Guneri, Serdar Yalcin, Onur Acikgoz, Esat Ak, Sadettin Cetiner
A 74-year-old male patient with prostate cancer under remission was admitted with left inguinoscrotal swelling. He underwent scrotal ultrasound demonstrating a giant in-guinoscrotal hernia. Contrast-enhanced computerized tomography of the abdomen and pelvis demonstrated a left pelvic kidney associated with severe hydroureteronephrosis secondary to a ureteral inguinoscrotal hernia. Upon exploration with left inguinal incision, a paraperitoneal ureteral in-guinoscrotal hernia and a hypertrophic left spermatic cord were observed...
November 2017: Current Urology
https://www.readbyqxmd.com/read/29423823/blunt-testicular-trauma-is-surgical-exploration-necessary
#16
E J Redmond, F T Mac Namara, S K Giri, H D Flood
OBJECTIVES: EAU and AUA guidelines recommend urgent surgical exploration in cases of suspected testicular rupture. However, the management of rupture to other encapsulated organs (e.g. kidney) is primarily non-operative. The aim of this study was to evaluate the conservative management of blunt scrotal trauma. METHODS: Standard practice in our Level II trauma centre is to manage all blunt scrotal injuries conservatively with analgesia, antibiotics and scrotal support...
February 8, 2018: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/29423147/epididymo-orchitis-causing-testicular-infarction-a-serious-complication-of-a-common-disorder
#17
Adrian Rhudd, Masood Moghul, Gareth Reid
One of the most common differentials for the acute scrotum is an epididymo-orchitis (EO), which can mimic the presentation of testicular torsion. We present a case of a 37-year-old man presented to the Emergency department with a 3-day history of progressive left testicular pain. A Doppler ultrasound was done which revealed increased flow to the left testicle with no evidence of testicular torsion and he was discharged. He was re-admitted with worsening pain and a repeat scan showed that the penile arterial diastolic flow had reversed, indicating testicular infarction...
October 2017: Journal of Surgical Case Reports
https://www.readbyqxmd.com/read/29420188/human-3beta-hydroxysteroid-dehydrogenase-deficiency-associated-with-normal-spermatic-numeration-despite-a-severe-enzyme-deficit
#18
Bruno Donadille, Muriel Houang, Irène Netchine, Jean-Pierre Siffroi, Sophie Christin-Maitre
Human 3 beta-hydroxysteroid dehydrogenase deficiency (3b-HSD) is a very rare form of congenital adrenal hyperplasia resulting from HSD3B2 gene mutations. The estimated prevalence is less than 1/1,000,000 at birth. It leads to steroidogenesis impairment in both adrenals and gonads. Few data are available concerning adult testicular function in such patients. We had the opportunity to study gonadal axis and testicular function in a 46,XY adult patient, carrying a HSD3B2 mutation. He presented at birth a neonatal salt-wasting syndrome...
March 2018: Endocrine Connections
https://www.readbyqxmd.com/read/29410694/multiparametric-ultrasound-findings-in-a-patient-with-polyorchidism
#19
Vasileios Rafailidis, Mary Arvaniti, Dimitrios Rafailidis, Dimitrios Sfoungaris
Polyorchidism is a rare condition usually incidentally discovered in young patients investigated with ultrasound for unrelated reasons. It is characterized by the presence of unilateral or, rarely, bilateral supernumerary testes which, depending on the type of polyorchidism, may have their own epididymis and vas deferens. Ultrasound, including B-mode and color Doppler technique, represents the primary imaging modality for the evaluation of scrotal diseases, including the characterization of supernumerary testes, which normally appear identical to the ipsilateral testicular parenchyma on every ultrasonographic technique performed...
August 2017: Ultrasound: Journal of the British Medical Ultrasound Society
https://www.readbyqxmd.com/read/29391177/usefulness-of-preoperative-ultrasound-for-the-evaluation-of-testicular-rupture-in-the-setting-of-scrotal-gunshot-wounds
#20
Ryan Powers, Stephen Hurley, Edward Park, Brian McArdle, Patricia Vidal, Sarah P Psutka, Courtney M P Hollowell
PURPOSE: A scrotal gunshot wound may result in testicular injury, necessitating urgent scrotal exploration and attempted testicular salvage. Scrotal ultrasound is highly sensitive and specific for testicular rupture in the setting of blunt scrotal trauma but it has been poorly studied in the setting of scrotal gunshot wounds. Our objective was to determine the accuracy of scrotal ultrasound to identify testicular rupture following a scrotal gunshot wound. MATERIALS AND METHODS: We retrospectively reviewed the records of patients with a scrotal gunshot wound from 2003 to 2014 in whom preoperative ultrasound was done prior to scrotal exploration...
January 31, 2018: Journal of Urology
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