Krishna Kumar Borah 1 , Karuna Hazarika 2
BACKGROUND The aim of the study is to1. Study ultrasonographic and colour Doppler patterns of different causes of scrotal swelling (masses). 2. Asses the role of high frequency real time USG in differentiating testicular and extra testicular masses. MATERIALS AND METHODS A hospital-based cross-sectional study of 100 cases of scrotal pathology were studied over a period of 1 year from 1st August, 2008, to 31st July, 2009, in the Department of Radiodiagnosis, Assam Medical College Hospital at Dibrugarh. All the patients were subjected to grey scale high resolutions USG of scrotum and then scrotal colour Doppler study. Sonographic imaging was performed with Phillips HD-11 real time scanner by using 2.5-5 MHz curvilinear probe and 10 MHz linear transducer. RESULTS Out of 100 cases of scrotal swelling- 97% were benign, 3% were malignant. Among the benign lesions, 82% cases were extra testicular, 7% intratesticular, 8% are both intra and extra testicular in origin. 100% of all malignant lesions were intratesticular. Of the benign lesion- 40% hydrocele, 26% inflammatory lesions, 5% hernia, 6% varicocele, 4% traumatic, 5% cases epididymal cyst, 2% cases torsion. CONCLUSION High resolution, high frequency US and colour Doppler study of scrotum had the advantages of being noninvasiveness, lack of ionising radiation, wide availability, cost effectiveness and repeatability. It is accurate in differentiating testicular ischaemia and torsion, solid and cystic, benign and malignant mass. It is highly sensitive in demonstrating varicocele.
