[Current status of high-resolution scrotal echography].
OBJECTIVE
To review the main images that can be observed by ultrasound, trying to highlight what decision to take after their finding: exploratory surgery, orchyectomy, or follow-up.


METHODS
We performed a bibliographic review about the topic and incorporated our personal experience with scrotal ultrasound. Given that there is an extensive variety of anomalies that can be observed we divide them in liquid and solid lesions, and these in intra or extratesticular, plus a group of lesions that do not qualify in the previous groups.


RESULTS
The development of high frequencies transducers (8-10 Mhz) and a greater experience today allows to diagnose not only testicular tumors but also a number of benign clinical entities, with enough specificity in some of them as to avoid surgery.


CONCLUSIONS
Ultrasound is a simple test, painless, and can be repeated without trouble, so that it is the first test that should be ordered when managing any intra scrotal problem.
Rodríguez-Patrón Rodríguez
Rafael
R
Unidad de Ecografia Urológica, Hospital Ramón y Cajal, Madrid, España.
Mayayo Dehesa
Teodoro
T
Lennie Zucharino
Alberto
A
Briones Mardones
Gabriel
G
Sanz Mayayo
Enrique
E
Gómez García
Ignacio
I
Escudero Barrilero
Angel
A
D003560:Cysts / Q000000981:diagnostic imaging; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging; D008297:Male; D012611:Scrotum / Q000000981:diagnostic imaging*; D013733:Testicular Diseases / Q000000981:diagnostic imaging*; D006848:Testicular Hydrocele / Q000000981:diagnostic imaging; D013736:Testicular Neoplasms / Q000000981:diagnostic imaging; D013737:Testis / Q000098:blood supply / Q000000981:diagnostic imaging / Q000293:injuries; D014463:Ultrasonography; D014646:Varicocele / Q000000981:diagnostic imaging