Scrotal Ultrasound for Pain: Low Frequency of Absolute Surgical Indications
| Autor: | James A. Kashanian, Daniel J. Mazur, Marah C. Hehemann, Christopher D. Morrison, Daniel T. Oberlin, Valary T. Raup, Andrew W. Choi, Brian Trinh, Mohammed A. Said, Mary Kate Keeter, Robert E. Brannigan |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Male
endocrine system medicine.medical_specialty endocrine system diseases Urology 030232 urology & nephrology Pain Testicular pain urologic and male genital diseases Malignancy Testicular Diseases Lesion 03 medical and health sciences 0302 clinical medicine Testis medicine Humans Orchiectomy Abscess Retrospective Studies Ultrasonography Suspicious for Malignancy urogenital system business.industry Ultrasound 030208 emergency & critical care medicine medicine.disease Surgery Scrotum medicine.symptom business Scrotal Pain Follow-Up Studies |
| Zdroj: | Urology. 108:17-21 |
| ISSN: | 0090-4295 |
| DOI: | 10.1016/j.urology.2017.06.007 |
| Popis: | Objective To examine the results of scrotal ultrasounds (US) conducted for scrotal or testicular pain and review the pathologic findings of orchiectomies done for lesions that were suspicious for malignancy on US. Materials and Methods We retrospectively reviewed the indications and findings of all scrotal US completed at our institution from 2002 to 2014. If a patient underwent an orchiectomy for an intratesticular lesion that was concerning for malignancy on US, the pathology report was also reviewed. Results There were 18,593 scrotal US performed, with 7,668 (41.2%) conducted for scrotal pain. Of the US performed for pain, 80.4% revealed benign or normal findings, and only 2.2% demonstrated a finding that is an absolute indication for surgery (intratesticular lesion suspicious for malignancy 0.8%, abscess 0.7%, torsion 0.6%, infiltrative process such as lymphoma 0.1%). For those patients undergoing an orchiectomy, 75% had malignancy on pathologic analysis. Conclusion The majority of the 7668 US performed to evaluate scrotal or testicular pain reveal normal or benign findings. A low percentage demonstrates a finding that necessitates urgent or emergent surgery. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect