Torsion and beyond: new twists in spectral Doppler evaluation of the scrotum.

OBJECTIVE

To illustrate how spectral Doppler waveform analysis plays an adjunctive but very definite role in scrotal sonography.

METHODS

The cases illustrate a variety of testicular disorders that were collected at a referral tertiary care center.

RESULTS

Normal and a variety of pathologic conditions of the testes are discussed, along with their signature spectral waveforms.

CONCLUSIONS

Analysis of the spectral waveform provides important additional information in various scrotal disorders with acute pain. Spectral waveform analysis is critical to diagnosing incomplete torsion when color and power Doppler examinations are indeterminate.