[Testicular ultrasonography]

Area of Science:

• Radiology
• Urology
• Medical Imaging

Background:

• Scrotal pathology requires accurate differential diagnosis.
• Distinguishing between testicular and extratesticular conditions is crucial for appropriate management.

Purpose of the Study:

• To review the role of ultrasound in the differential diagnosis of scrotal pathology.
• To evaluate ultrasound's contribution to differentiating testicular and adnexal lesions.

Main Methods:

• Bibliographic review of ultrasound in scrotal pathology.
• Classification of scrotal lesions into testicular, extratesticular, liquid, solid, and unclassifiable categories.
• Inclusion of clinical experience from a specialized unit.

Main Results:

• High-frequency ultrasound effectively differentiates intra-testicular from extra-testicular lesions.
• Ultrasound can identify specific pathologies, enabling conservative management or follow-up.
• Management decisions for scrotal lesions can be guided by ultrasound findings, potentially avoiding surgery.

Conclusions:

• Ultrasound is the primary imaging modality for scrotal content evaluation.
• It is a painless, repeatable, and non-invasive diagnostic tool.
• Ultrasound aids in accurate diagnosis and guides management strategies for scrotal pathology.