Micro-Ultrasonographic Examination of Scrotal Lesion

Kim, Hyung Soo; Kim, Young Sun

Abstract

Accurate and prompt diagnosis in patients with scrotal lesions remains a challenge to both urologists and radiologists. Recently scrotal micro-ultrasonography using small parts real time scanner has been used to assess these patients. Herein we examined the effectiveness of diagnostic ultrasound in 43 patients with scrotal lesions. The results were as follows: l. Out of total 43 patients, 37 were unilateral and 6 were bilateral scrotal lesions. Total 49 cases` were examined. 2. Of 5 cases with acute scrotum, ultrasonography detected 4 cases with acute epididymitis and one case with spermatic cord torsion. 3. Of 32 cases with subacute scrotal mass, surgical exploration was done in 19 cases. 18 cases were same as postoperative diagnosis (94.7 % accuracy). One case with sperm granuloma was confirmed to epididymal hematoma by exploration. 4. Of 6 cases with testicular trauma 2 had testicular rupture, 3 had testicular contusion and one revealed testicular atrophy after previous orchiopexy. 5. Accurately localized the site of testis in 3 out of 6 impalpable, undescended testis. We conclude that scrotal ultrasound is a quick noninvasive, easily applied and accurate method to diagnose various scrotal pathologic conditions. But it should be confirmed by exploration whenever ultrasonic diagnosis is in doubt or not compatible with clinical findings.