Korean J Urol.
1994 Sep;35(9):969-974.
Diagnostic Value of Color Doppler Ultrasonography and Testicular Scintigraphy in Acute Scrotum
- Affiliations
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- 1Department of Urology, University of Ulsan, College of Medicine, Asan Medical Center, Seoul, Korea.
Abstract
- Color Doppler ultrasonography and testicular scintigraphy were used to evaluate 43 patients with acute scrotal pain. Color Doppler ultrasonography predicted properly the need of surgery in 5 of 6 patients with testicular torsion but testicular scintigraphy correctly diagnosed all 11 patients with testicular torsion. Color Doppler ultrasonography demonstrated increased epididymal or testicular flow in all 27 patients with acute epididymitis and testicular scintigraphy showed increased uptake in all 7 patients with acute epididymitis. But Color Doppler ultrasonography misdiagnosed 1 patient with testicular torsion as acute epididymitis and testicular scintigraphy misdiagnosed 1 patient with pyocele as testicular torsion. The authors found that the sensitivity and the specificity of color Doppler ultrasonography were 83% and 100% and the sensitivity and the specificity of testicular scintigraphy were 100 % and 89% in the diagnosis of testicular torsion. Color Doppler ultrasonography is as effective as testicular scintigraphy and it is an accurate and rapid diagnostic method in assessing perfusion and anatomy of the acute scrotal lesions.
