Download PDF
CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2009; 19(03): 187-190
DOI: 10.4103/0971-3026.54874
Oration

Role of color doppler in scrotal lesions

Bhardwaj Patiala
Department of Radiodiagnosis, Govt. Medical College and Rajindra Hospital, Patiala, India
› Author Affiliations
› Further Information
Also available at
  PDF Download Permissions and Reprints

Abstract

Color Doppler USG of the scrotum has been demonstrated to be useful in the diagnosis of scrotal lesions. Gray-scale USG characterizes the lesions as testicular or extratesticular and, with color Doppler and power Doppler, flow and perfusion can also be assessed. Color Doppler is particularly helpful in acute painful conditions, where it can differentiate testicular ischemia from inflammatory conditions and thus prevent unnecessary surgical explorations. With color Doppler, useful information can be gained about vascularity in testicular malignancies. Color Doppler also has high sensitivity and high specificity in the diagnosis of lesions like varicoceles.

Keywords

Color Doppler - testicular torsion - epididymo-orchitis - varicoceles


Publication History

Article published online:
02 August 2021

© 2009. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 

  • References

  • 1 Aso C, Enrνquez G, Fitι M, Torαn N, Piró C, Piqueras J, et al . Gray-scale and color Doppler sonography of scrotal disorders in children: an update. Radiographics 2005;25:1197-214.
  • 2 Alcantara Al, Sethi Y. Imaging of testicular torsion and epididymitis/orchitis: Diagnosis and pitfalls. Emerg Radiol 1998;5:394-402.
  • 3 Bhatt S, Dogra VS. Role of US in Testicular and Scrotal Trauma. Radiographics 2008;28:1617-29.
  • 4 Dubinsky TJ, Chen P, Maklad N. Color-flow and power Doppler imaging of the testes. World J Urol 1998;16:35-40.
  • 5 Caesar RE, Kaplan GW. Incidence of the bell-clapper deformity in an autopsy series. Urology 1994;44:114-6.
  • 6 Cassar S, Bhatt S, Paltiel HJ, Dogra VS. Role of spectral Doppler sonography in the evaluation of partial testicular torsion. J Ultrasound Med 2008;27:1629-38.
  • 7 Wilbert DM, Schaerfe CW, Stern WD, Strohmaier WL, Bichler KH. Evaluation of the acute scrotum by color-coded Doppler ultrasonography. J Urol 1993;149:1475-7.
  • 8 Vijayaraghavan SB. Sonographic differential diagnosis of acute scrotum: real-time whirlpool sign, a key sign of torsion. J Ultrasound Med 2006;25:563-74.
  • 9 Burks DD, Markey BJ, Burkhard TK, Balsara ZN, Haluszka MM, Canning DA. Suspected testicular torsion and ischemia: Evaluation with color Doppler sonography. Radiology 1990;175:815-21.
  • 10 Dogra VS, Gottlieb RH, Oka M, Rubens DJ. Sonography of the scrotum. Radiology 2003;227:18-36.
  • 11 Siegel MJ. Male pelvis. In: Siegel MJ, eds. Pediatric sonography. 2nd ed. New York, NY: Raven, 1995. p. 479-512. Jeffrey RB, Laing FC, Hricak H, McAninch JW. Sonography of testicular trauma. AJR Am J Roentgenol 1983;141:993-5.
  • 12 Luker GD, Siegel MJ. Color Doppler sonography of the scrotum in children. AJR Am J Roentgenol 1994;163:649-55.
  • 13 Giorgio G. Cardiovascular (inferior vena cava). In: Williams PL, eds. Gray′s anatomy: The anatomical basis of medicine and surgery. 38th ed. New York, NY: Churchill Livingstone; 1995. p. 1600-1.
  • 14 Mehta AL, Dogra VS. Intratesticular varicocele. J Clin Ultrasound 1998;26:49-51.
  • 15 Pierik FH, Dohle GR, van Muiswinkel JM, Vreeburg JT, Weber RF. Is routine scrotal ultrasound advantageous in infertile men? J Urol 1999;162:1618-20.
  • 16 Ulbright TM, Roth LM. Testicular and paratesticular tumors. In: Sternberg SS, eds. Diagnostic surgical pathology. 3rd ed. Philadelphia, Pa: Saunders; 1999. p. 1973-2033.
  • 17 Horstman WG, Melson GL, Middleton WD, Andriole GL. Testicular tumors: findings with color Doppler US. Radiology 1992;185:733-7.
  • 18 Mazzu D, Jeffrey RB, Jr, Ralls PW. Lymphoma and leukemia involving the testicles: findings on gray-scale and color Doppler sonography. AJR Am J Roentgenol 1995;164:645-7.