Doppler ultrasonography in testicular tumors presenting with acute scrotal pain.
OBJECTIVE
To determine whether Doppler ultrasonography (US) could be useful in the evaluation of testicular neoplasms presenting with acute scrotal pain.


METHODS
We examined 18 patients with acute scrotal pain using Doppler US. Peak systolic and end-diastolic velocity measurements were performed at first admission and on completion of 1-week proper antibiotic treatment. Data were retrospectively reviewed and compared with findings of a control group of 17 age-matched subjects.


RESULTS
Of the 18 patients evaluated, 11 were found to have testicular tumors and 7 testicular inflammation. Peak systolic and end-diastolic velocities were significantly increased in patients with testicular tumor (p<0.002) and orchitis (p<0.01) versus normal controls. Follow-up examination on completion of 1-week antibiotic treatment demonstrated persistent high velocity values in patients with tumor and normalization of velocity values in patients with orchitis.


CONCLUSIONS
Our results support the concept that follow-up Doppler US examination is of value in patients with acute scrotal pain submitted to antibiotic treatment since it may contribute to the differentiation between orchitis and testicular tumor.
Department of Radiology, 2nd I.K.A. General Hospital, Thessaloniki, Greece.
K
K
Varsamidis
E
E
Varsamidou
G
G
Mavropoulos
D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000368:Aged; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008875:Middle Aged; D009920:Orchitis / Q000000981:diagnostic imaging; D010146:Pain / Q000209:etiology*; D011471:Prostatic Neoplasms / Q000150:complications / Q000000981:diagnostic imaging*; D012611:Scrotum; D018608:Ultrasonography, Doppler