Prospective comparison of colour doppler ultrasonography and testicular scintigraphy in acute scrotum

Karadeniz, Tahir; Topsakal, Medih; Eksioglu, Ali; Erton, H.; Özpaçacı, Tevfik; Basak, Dogan

doi:10.1007/bf02550964

Cited by 5 publications

(2 citation statements)

References 14 publications

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“…Our results are in accordance with previous studies. 15,16,17,18,19 In our study 67% of the cases fall in 11-30 years' age group. At this age, volume of the testicle increases and if there are predisposing congenital or developmental factors then testicles are prone to twist.…”

Section: Discussionsupporting

confidence: 43%

Scrotal Scintigraphy in Testicular Torsion: An Experience at a Tertiary Care Centre

Omar¹,

Ms²,

Imran³

2012

imjm

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Introduction: Accurate diagnosis of testicular torsion is important to avoid serious consequences of any delay in proper management. Objective of this study was to compare performance parameters of scrotal scintigraphy and scrotal ultrasound to correctly and confidently diagnose the etiology of an acute scrotum in university hospital settings. Materials and Methods: This is an observational study with a retrospective analysis of data from July 2004 to March 2009. A total of 21 patients (age three years to 37 years) were referred from Emergency Department for scrotal scintigraphy to rule out testicular torsion. All patients went through a standard protocol for scrotal scintigraphy upon referral to Nuclear Medicine Department. Scrotal ultrasound was performed either before or immediately after the scintigraphy. Results: Confirmation of the diagnosis in all 21 patients was based either on the histopathological report of the surgical specimen (n=7) or through clinical follow up (for conservative treatment; n=14). At presentation, nine patients (43%) had left sided pain, and 12 patients (57%) had right sided pain (p>0.05). Eight patients (38%) were diagnosed to have testicular torsion on scintigraphy; one of them turned out to be false positive (testicular abscess). Sensitivity of scrotal scintigraphy to diagnose testicular torsion was 100%, specificity 93%, negative predictive value (NPV) 100% and positive predictive value (PPV) 88%. Conclusion: Scrotal scintigraphy in an acute scrotum is a feasible procedure to be performed on emergency basis, and it is a valid and reliable test to diagnose testicular torsion when US is doubtful or non conclusive.

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Section: Discussionsupporting

confidence: 43%

Scrotal Scintigraphy in Testicular Torsion: An Experience at a Tertiary Care Centre

Omar¹,

Ms²,

Imran³

2012

imjm

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“…Technetium-99m pertechnetate scans, and color Doppler ultrasound have been used to differentiate infectious or inflammatory causes from torsion based on blood flow patterns; the former shows in creased flow, the latter ischemia. Ultra sound is easier to obtain and more cost-efficient than nuclear imaging (see Figure 2) (Karadeniz et al, 1996). When history, physical examination, and imaging are not adequate, surgical exploration provides a definitive diagnosis and is the appropriate treatment.…”

Section: Testicular Torsionmentioning

confidence: 99%

Detection and Management of Pediatric Conditions that May Affect Male Fertility

Rust²,

Ellsworth³

2012

UNJ

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ouple infertility is related to male factors in 50% of cases (Jungwirth et al., 2012). In adult males, the cause often relates to obstruction of the male genital tract or decreased or absent sperm production or function. While the vast majority of infertility evaluations are performed for adults, several conditions affecting male fertility may be detected in childhood, including congenital, structural, and traumatic etiologies (see Table 1). Pediatric Diagnoses Contributing To Infertility An understanding of pediatric diagnoses contributing to infertility can facilitate management plans, and the impact of SERIES these diagnoses should be discussed with patients and their parents in preparation for postpubertal years. When a child or adolescent is diagnosed with a condition that may affect future fertility, it is often met with great anxiety by the parents and patient. At the time of diagnosis, about 30% of adolescents experience anxiety and depressed mood related to the diagnosis (Steeno, Knops, Declerck, Adimoelja, & van de Voorde, 1976). Likewise,

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Clinical study of scrotum scintigraphy in 49 patients with acute scrotal pain: A comparison with ultrasonography

Ye¹,

Luo²,

Chen³

et al. 2001

Ann Nucl Med

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The significance of scrotum scintigraphy in differentiating acute testicular torsion from acute orchiepididymitis was evaluated. In this report, 49 patients with acute scrotal pain were examined with radionuclide scrotum scintigraphy and ultrasonography in parallel for comparison. Of 37 patients with decreased radioactivity in the abnormal side scrotum, 35 were diagnosed with testicular torsion surgically and the other 2 were diagnosed with indirect inguinal hernia. Only 17 among the 35 patients were diagnosed by ultrasonography as having testicular torsion. The remaining 12 patients with increased radioactivity in the abnormal side of the scrotum were all diagnosed with orchiepididymitis through conservative treatment and clinical follow-up, but only 8 of the 12 were correctly and exactly diagnosed by ultrasonography. In the process of diagnosing acute scrotal pain, radionuclide scrotum scintigraphy has obvious advantage over ultrasonography. It also has the advantage of being simple, fast and accurate but without any detrimental effect on the human body.

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Prospective comparison of colour doppler ultrasonography and testicular scintigraphy in acute scrotum

Cited by 5 publications

References 14 publications

Scrotal Scintigraphy in Testicular Torsion: An Experience at a Tertiary Care Centre

Scrotal Scintigraphy in Testicular Torsion: An Experience at a Tertiary Care Centre

Detection and Management of Pediatric Conditions that May Affect Male Fertility

Clinical study of scrotum scintigraphy in 49 patients with acute scrotal pain: A comparison with ultrasonography

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