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A prospective evaluation of scrotal ultrasonography in clinical practice
A B Adeyoju1, G N Collins, A J Pollard
1Department of Urology and Department of Radiology, Stepping Hill Hospital, Stockport, UK.
Objectives:
To prospectively evaluate scrotal ultrasonography (SUS) in patients presenting with scrotal symptoms and to make recommendations about use of SUS in clinical practice.
Patients And Methods:
Forty-eight men with scrotal symptoms were examined by a urologist and independently underwent SUS by one radiologist with no knowledge of the clinical diagnosis. The clinical and SUS diagnoses were compared and the effect on subsequent management recorded.
Results:
The clinical and SUS diagnoses agreed in 35 men (73%) although SUS provided an additional diagnosis in half of these men. The SUS diagnosis differed in 13 men (27%) although the management was altered in only four patients.
Conclusion:
The clinical diagnosis is correct in most men with scrotal symptoms; the routine use of SUS is inappropriate and should be reserved for specific indications.