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2005, Number 2

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Rev Fac Med UNAM 2005; 48 (2)

Retrospective evaluation of testis ultrasound, examination

Fonseca RR
Full text How to cite this article

Language: Spanish
References: 10
Page: 52-53
PDF size: 30.26 Kb.


Key words:

Scrotum, ultrasonography, clinical diagnosis.

ABSTRACT

Introduction: ultrasonography is the commonest form of scrotal imaging for evaluating patients with scrotal pathology with a high sensibility and specificity. In spite of this fact, the real indications for it´s use in clinical practice still have not been precisely established. Objectives: To evaluate retrospectively and in a comparative basis the real usefulness of this diagnostic weapon in patients with scrotal symptoms. Materials and methods: 38 men with scrotal symptoms were examined by and urologist and underwent to scrotal ultrasound. Clinical and ultrasonographic diagnosis were compared and the effect on subsequent management recorded. Results: The clinical and ultrasonographic diagnosis agreed in 34 patients (89.4%). Scrotal ultrasound provided additional diagnosis in 5 and differed in 4 (10.6%). Although, management was altered in only one patient. Conclusion: Clinical diagnosis is correct in a considerable number of men with scrotal symptoms; the routine use of scrotal ultrasound is inappropriate and should be reserved for specific indications.


REFERENCES

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  2. Van Dijk R, Doesburg WH, Verbeek ALMA et al. Ultrasonography versus clinical examination in evaluation of testicular tumours. J Clin Ultrasound 1994; 22: 179-82.

  3. Guthrie JA, Fowler RC. Ultrasound diagnosis of testicular tumors presenting as epididymal disease. Clin Rad 992; 46: 397-400.

  4. Reed DN. Textbook of Uroradiology. Third Edition. Philadelphia: Lippincott Williams & Wilkins; 2000.

  5. Older RA, Omary, Watson LR. The impact of sonography on the diagnosis of scrotal disorders. J Urol 1997; 158: 479-80.

  6. Backus ML, Mack LA; Middleton WD et al. Testicular microlithiasis: imaging appearances and pathological correlation. Radiology 1994; 192: 781-5.

  7. Older RA, Watson LR. Tubular ectasia of the rete testis: a benign condition with a sonographic appearance that may be misinterpreted as being malignant. J Urol 1994; 152: 477.

  8. Adeyoju AB, Colins GN, Pollard AJ. A prospective evaluation of scrotal ultrasonography in clinical practice. BJU international 2000; 86: 87-88.

  9. Menon VS, Sheridan WG. Benign scrotal pathology: should all patients undergo surgery? BJU international 2001; 88: 251-254.

  10. Dogra VS. Benign intratesticular cystic lesions: US features. Radiographics; 21: 273-281.




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Rev Fac Med UNAM . 2005;48