Aids in evaluating for torsion, infection or masses. Eco doppler color o ecografia doppler servicios cemedyt. Color doppler sonography was performed in 32 patients with a painful scrotum in whom testicular ischemia from torsion or postherniorrhaphy was clinically suspected. In adults and older children, initial reports indicate that color doppler assessment can define both anatomy and blood flow within testes accu rately. Doppler testicular por infertilidad, dolor escrotal, etcetera. With this modality, arterial flow is readily detected in the normal spermatic cord and testis but is not seen in the epididymis. A study of 28 patients with surgically proved testicular tumors was performed to determine the appearance at color doppler ultrasound us scanning. Causes of scrotal pain include inflammation epididymitis, epididymoorchitis, abscess, testicular torsion, testicular trauma, and testicular cancer 15,16. Scrotal ultrasounds are done for the following reasons. Chapter 4 scrotal ultrasound bruce r gilbert md phd pc. Bmode ultrasonography of the testicles combined with haemodynamic analysis in real time by. Effects of testicular microlithiasis on doppler parameters. Jason levy, md, northside radiology associates, atlanta, ga.
The first part presents fundamentals on vascularization and normal doppler. Color doppler ultrasound in newborn testis torsion. Color doppler ultrasonography us is an increasingly important tool in the evaluation of the scrotum, especially in acute scrotal disorders. Any information contained in this pdf file is automatically generated from digital material submitted to epos by third parties in the form of scientific presentations. Grayscale usg characterizes the lesions as testicular or extratesticular and, with color doppler and power doppler, flow and perfusion can also be assessed. Evaluated of testicular tumors using doppler sonography. Waveforms from these vessels were similar and consistently showed a lowimpedance pattern with high levels of diastolic flow. An ultrasound is a safe and painless test that uses sound waves to make images of the internal structures of the body. There was a general correlation of tumor size and vascularity. Color doppler ultrasound with point spectral analysis was performed on 30 testes of 15 asymptomatic volunteers.
Doppler findings of three cases of testicular microlithiasis during last two years in our institution are presented. Role of ultrasound with color doppler in acute scrotum. Mcdonnellb adepartment of animal reproduction, university of agriculture, 30059 krakow, poland buniversity of pennsylvania school of veterinary medicine, new bolton center, kennett square, pa 19348 usa received december 2002. Comment the role of color doppler ultrasound in assess ing testicular torsion and ischemia continues to be defined. The procedure is a mandatory part of the imaging evaluation to confirm the presence or absence of uniform, symmetric vascular perfusion of. A y b mediastino con vaso demostrado en doppler color.
Lecturer in faculty of medicine, kufa university, radiologist in alsadder teaching hospital, najaf, iraq. In medicine, testicular doppler is routinely used to. Fortunately, this entity is relatively well known, and it usually occurs with enough discomfort to lead to its diagnosis and subsequent testicular salvage. Paediatric testicular torsion clinical evaluation and. It is relatively quick, relatively inexpensive, can be correlated quickly with the patients signs and symptoms, and, most importantly, does not employ ionizing radiation. Color doppler usg of the scrotum has been demonstrated to be useful in the diagnosis of scrotal lesions. Testicular trauma and obstructed hernia can be differentiated by taking history from patient. Power doppler should be used to confirm flow in the varicocele. Intratesticular arteries and testicular capsular arteries were imaged in all 30 cases. Testicular doppler resistive index parameter as predictor. Among these, testicular torsion was evident in six.
Spectral doppler tracings of testicular arterial inflow demonstrate relatively low resistance. If blood flow cannot be visualized on color doppler fig. Look at lumps found by doctors during physical exam. Testicular and scrotal ultrasound is the primary modality for imaging most of the male reproductive system. Testicular microlithiasis is a rare, usually asymptomatic, nonprogressive disease of the testes associated with various genetic anomalies, infertility and testicular tumors. The patient will be asked to change into a gown and lie on a table. Color doppler ultrasound us is the modality of choice to differentiate testicular torsion from inflammatory conditions and can thus help in avoiding unnecessary surgical explorations. Color doppler ultrasound evaluation of testicular blood. According to our literature search, there is no specific data about doppler findings in this disease. The normal testicular artery resistive indices in adults range from 0. One thousand forty men with various testicular problems were examined using conventional and doppler sonography, and the incidence of intratesticular varicocele and other conditions was recorded. Ultrasound examination of the scrotum is not complete without the application of colour doppler.
Ultrasonographic methods for evaluation of testicles in cats. Testicular doppler resistive index parameter as predictor test for male infertility hassan alnaffakh,fibms,dmrd rad. Testicular and scrotal ultrasound radiology reference. Physical examination adds only a little information. Discussion after doppler ultrasound was first proposed for use in the evaluation of scrotal swelling in the mid1970s,3 nu merous studies reported complete ac curacy with the technique. Testicular torsion, also termed torsion of the spermatic cord, is a relatively common and potentially devastating acute condition resulting from obstruction of the arterial blood supply to the testis. Longitudinal view of testicle with enlarged pampiniform plexus. Eighteen patients with intratesticular varicoceles were further examined, allowing us to study the various sonographic and doppler parameters of this.