Email this article ASSESSMENT OF THE VALIDITY OF DOPPLER SONOGRAPHY IN THE DIAGNOSIS OF ACUTE SCROTUM IN BOYS
Abstract
Purpose: Comparison of preoperative scrotal Doppler sonography and final diagnosis of subsequent exploration in patients with acute scrotum.
Material and methods: Retrospective analysis of the medical history of 61 patients operated on in The Department of Paediatric and Oncological Surgery in Szczecin in 2008–2014.
Results: Mean patient age (years) with testicular torsion was 12.7 ±4.0, with torsion of a testicular appendage was 8.6 ±4.5, and with orchitis or epididymitis was 7.2 ±8.5. During operation we diagnosed testicular torsion in 28 (45%) patients, torsion of the testicular appendage in 26 (43%), and orchitis or epididymitis in 7 (12%). The specificity of Doppler sonography for testicular torsion was 46%, for torsion testicular appendage 20%, and for orchitis/epididymitis 57%.
Conclusions: Doppler sonography of the scrotum shows limited specificity in the diagnosis of acute scrotum in boys. Surgical exploration is recommended even with apparently normal Doppler sonography examinations.Keywords
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DOI: https://doi.org/10.21164/pomjlifesci.72
Copyright (c) 2015 Jacek Materny, Marta Dymny, Laura Lesiewska, Elżbieta Gawrych
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