[Doppler ultrasonography of scrotal injury].

OBJECTIVES

To review the current body of knowledge about performing, understanding, and interpreting Doppler ultrasonography in scrotal injury.

MATERIAL AND

METHODS

17 patients with scrotal injury were studied. We describe the ultrasound technique and a wide spectrum of traumatic pathology together with its complications, analyzing the ultrasonographic signs and Doppler flow patterns that can orient the diagnosis and approach to treatment.

RESULTS

The most common posttraumatic lesions were epididymo-orchitis and (26%) and scrotal hematomas (25%). The most frequent complications were testicular ischemia (3 cases) and abscess formation (2 cases). The surgical emergencies were torsion (8%) and testicular rupture (8%).

CONCLUSIONS

Scrotal injuries can cause lesions that vary widely in severity, semiotics, and treatment. Doppler ultrasonography is an accurate tool in the hands of an experienced radiologist, enabling a clear, accurate diagnosis to be reached reasonably fast in pressing circumstances.