370 Scrotal Ultrasound in Young Men with Acute Scrotal Pain: A Retrospective Consecutive Case Series Audit
نویسندگان
چکیده
Abstract Introduction Although not recommended by EAU guidelines, many men with acute scrotal pain undergo ultrasound (US) to screen for occult tumours. This has low diagnostic yield and must be weighed against the increased risks of coronavirus due additional hospital attendances, inconvenience patient, demand on NHS resources. We evaluated our case series determine current practice yield. Method 141 consecutive cases and/or swelling were identified from Trust’s Surgical Assessment Unit (September-December 2020). Clinical diagnosis, where performed, timing, indication outcome US was recorded. Results 109/141 patients underwent US; only urgent clinical indications suspected collection/abscess (5 cases) or testicular mass (4). Relative included uncertain diagnosis (27 cases), missed torsion (6) hernia (1). 66/109 performed ‘soft’ indications, however one tumour, two inguinal herniae unexpectedly found. Conclusions Scrotal changed immediate patient management in 1/109 (acute torsion). Early outpatient would sufficient diagnose torsions groin herniae. There is too much reliance more focus history examination needed.
منابع مشابه
Scrotal Ultrasound
Portability, safety, low cost and efficiency, together with the ability to accurately define pathology rapidly, have made ultrasound the primary imaging modality for evaluation of the scrotum, testis and paratesticular structures. These factors provide for timely diagnosis and treatment. Scrotal ultrasound is particularly helpful when a physical examination is inconclusive or a disease process ...
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ژورنال
عنوان ژورنال: British Journal of Surgery
سال: 2022
ISSN: ['1365-2168', '0007-1323']
DOI: https://doi.org/10.1093/bjs/znac039.249