ROLE OF ULTRASONOGRAPHY IN THE DIAGNOSIS OF SCROTAL SWELLNGS

Abstract

Ultrasonography remains an accurate, rapid and non­ invasive technique in the imaging of scrotal swellings. The sonography can reliably determine testicular integrity in cases of trauma, differentiate causes of painful scrotum and evaluate intra or extra-testicular causes of scrotal enlargement which is important because most intratesticular masses are malignant and most extra-testicular masses are benign. More-over, sonography may be helpful to identify seminoma from other non-seminomatous tumors with detection of retro peritoneal lymph node enlargement for staging.

Improvement in resolution pennits greater confidence in the characterization of lesions as representing simple fluid, complex fluid or solid lesion.