Abstract
The Authors report their experience in the use of Echo color Doppler in acute scrotum. The study is based on the treatment on 121 patients from 2 to 43 years (mean 19 years) affected by acute scrotal disease using an Acuson 128 with a 7 MHz linear probe and a Doppler frequency of 5 MHz. Of 57 patients with a clinical diagnosis of acute torsion of the spermatic cord only 21 (36.8%) had an absence of blood flow confirmed echographically. In 55 patients with a clinical diagnosis of acute epididymal flogosis, 46 (83.6%) were confirmed echographically. In the other subjects 5 acute spermatic cord torsion (9.1%), 2 hematomas in testicular neoplasia (3.6%) and 2 spontaneous hematomas were discovered. In the remaining 9 cases, wjth a history of scrotal trauma, the echographic patterns showed a scrotal hematoma and the integrity of the tunica albuginea or the lack of it. After having compared the US color Doppler with other instrumental techniques for acute scrotum, the Authors conclude by considering this procedure the most indicated for all acute scrotal diseases.
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