[Acute scrotum: clinical picture, diagnosis, treatment]

The purpose of this study was to evaluate the potentialities of ultrasonic dopplerography and radioisotope scanning of the scrotal organs for the diagnosis of acute scrotal diseases and defining the indications to surgery in patients with acute epididymoorchitis. A total of 128 subjects were examined (23 healthy controls and 105 patients with scrotal diseases). 139 ultrasonic and 76 radioisotope scannings of the scrotum were carried out. Ultrasonic scanning plays the key role in the diagnosis of traumatic and inflammatory epididymoorchitis. Radioisotope study is more informative in the diagnosis of torsion of the testicle. The data indicate high informative value of ultrasonic and radioisotope studies in differential diagnosis of acute scrotal diseases and diseases simulating an acute process in the testicle and appendage. A positive feature of both methods is the possibility of their repeated use for evaluating the treatment efficiency. Analysis of 241 cases with acute epididymoorchitis showed that early surgical treatment of patients with pyodestructive inflammation promotes rapid recovery. Ultrasonic monitoring helps timely detect the complications and correct the treatment strategy. Wide use of ultrasonic and radioisotope methods of examination in patients with acute scrotal diseases promote timely detection of pathological changes and better results of treatment.